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Zentralbl Chir 2018; 143(01): 74-80
DOI: 10.1055/s-0043-117494
Übersicht
Georg Thieme Verlag KG Stuttgart · New York

Stellenwert der endoskopischen Karpaltunneldekompression

The Value of Endoscopic Decompression in Surgical Therapy of Carpal Tunnel Syndrome
Maximilian E. T. Hessenauer
1   Plastisch- und Handchirurgische Klinik, Universitätsklinikum Erlangen, Deutschland
,
Andreas Arkudas
1   Plastisch- und Handchirurgische Klinik, Universitätsklinikum Erlangen, Deutschland
,
Ingo Ludolph
1   Plastisch- und Handchirurgische Klinik, Universitätsklinikum Erlangen, Deutschland
,
Elias Polykandriotis
2   Abteilung für Plastische-, Hand- und Mikrochirurgie, Sana Klinikum Hof GmbH, Deutschland
,
Raymund E. Horch
1   Plastisch- und Handchirurgische Klinik, Universitätsklinikum Erlangen, Deutschland
› Author Affiliations
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Publication History

Publication Date:
22 November 2017 (online)

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Erratum: Stellenwert der endoskopischen KarpaltunneldekompressionZentralbl Chir 2018; 143(02): 204-204
DOI: 10.1055/s-0043-124426

Zusammenfassung

Das Karpaltunnelsyndrom ist eine der häufigsten Erkrankungen in der Handchirurgie. Goldstandard der Therapie ist die operative Spaltung des Lig. carpi transversum. Neben einer Zusammenfassung der neuesten Erkenntnisse bez. Pathogenese, Diagnostik und Therapie wird hier auf Fragen über minimalinvasive Therapiemodalitäten eingegangen. Insbesondere berichten wir neben einem aktuellen Literaturüberblick unsere eigenen Therapieerfahrungen mit der monoportalen endoskopischen Karpaltunnelspaltung in über 700 Fällen. Zusammenfassend zeigt sich bei gleichwertiger Therapiesicherheit eine Überlegenheit des endoskopischen Verfahrens hinsichtlich der Rekonvaleszenz. Die Vor- und Nachteile der verschiedenen Verfahren werden anhand der Daten diskutiert.

Abstract

Carpal tunnel syndrome is one of the most common diseases in hand surgery. The gold standard in therapy is the surgical release of the carpal tunnel. We provide a brief update on the relevant pathogenesis, diagnosis and therapy and discuss questions related to minimal invasive decompression of the median nerve. Together with a review of the current literature, we report on our experiences in minimally invasive carpal tunnel release via a monoportal endoscopic access in over 700 cases. In conclusion, the endoscopic technique provides superior convalescence and patient safety is comparable to open methods. In addition, advantages and disadvantages of the various techniques are discussed.

Schlüsselwörter

Karpaltunnelsyndrom - endoskopische Dekompression - N. medianus - Revisionsoperationen

Key words

carpal tunnel syndrome - endoscopic decompression - median nerve - revisional surgery
 

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