Document Detail


Outcome of first-time endoscopic carpal tunnel release in a teaching environment.
MedLine Citation:
PMID:  11774138     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purpose of this study was to dissect cadaver hands used in the teaching of the Chow endoscopic carpal tunnel release (ECTR) technique and determine the adequacy of transverse carpal ligament (TCL) release and any complications. TYPE OF STUDY: Cadaveric study. METHODS: ECTR was performed on 573 cadaver hands using either the transbursal Chow technique (n = 147) or the extrabursal Chow technique (n = 426). After dissection, the adequacy of the TCL release and any complications were recorded. RESULTS: With the transbursal technique, 58% of the specimens had a complete TCL release. Complications were noted in 11 specimens (7%). Using the extrabursal technique, 70% of the specimens had a complete TCL release. Complications were noted in 15 specimens (4%). The difference in complication rates between the transbursal and extrabursal techniques was significant (P <.05) as was the incidence of partial release (P <.01). CONCLUSIONS: The extrabursal Chow technique is preferred and practice on cadaver specimens is recommended before clinical application.
Authors:
Richard L Makowiec; Daniel J Nagle; James C y Chow
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association     Volume:  18     ISSN:  1526-3231     ISO Abbreviation:  Arthroscopy     Publication Date:  2002 Jan 
Date Detail:
Created Date:  2002-01-04     Completed Date:  2002-03-21     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8506498     Medline TA:  Arthroscopy     Country:  United States    
Other Details:
Languages:  eng     Pagination:  27-31     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Great Lakes Naval Hospital, Great Lakes, USA.
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MeSH Terms
Descriptor/Qualifier:
Cadaver
Carpal Tunnel Syndrome / surgery*
Clinical Competence*
Dissection
Endoscopy / adverse effects,  methods*
General Surgery / education
Hand / surgery
Humans
Internship and Residency*
Postoperative Complications
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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