External Neurolysis Applied to Severe Carpal Tunnel Syndrome.

概要

論文の詳細を見る
Ten patients with severe unilateral carpal tunnel syndrome treated with carpal tunnel release surgery and external neurolysis of the median nerve were reviewed. Subjects comprised 2 males and 8 females ranging in age from 42 to 71 years (mean 53.4). All patients had thenar muscle atrophy and no reaction to electrophysiologic testing of the median nerve including distal motor latencies preoperatively. various tests including the two-point discrimination, Semmes-Weinstein sensory test, muscle test of abductor pollicis brevis and opponens pollicis, measurement of distal motor latencies and test of ADL were done pre-and post-operatively.All patients regained some degree of useful hand function post-operatively despite the severity of the syndrome. We therefore concluded that we could achieve satisfactory results using external neurolysis for severe carpal tunnel syndrome without simultaneous opponoplasty.
西日本整形・災害外科学会の論文