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Methods: We performed a modified two-portal endoscopic carpal tunnel release on 30 patients by inserting a catheter pressure transducer into the carpal tunnel for continuous pressure measurement during the procedure. Grip and pinch strengths, Semmes-Weinstein monofilament test, and nerve conduction studies were examined preoperatively and at postoperative 1, 3, and 6 months. Numbness and the Disabilities of the Arm, Shoulder and Hand score were also evaluated pre and postoperatively. Findings: Subjective symptoms and nerve conduction study findings improved uneventfully. The pressure was always observed to be maximum pressure immediately before the cannula was withdrawn from the exit portal, and carpal tunnel pressure \u003e300 mm Hg was recorded in most of the patients. Interpretation: A transient increase in the carpal tunnel pressure occurred in all the patients; however, it did not correlate with their clinical outcome or with increased risk of pen-operative complications. 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Carpal tunnel pressure measurement during two-portal endoscopic carpal tunnel release
http://hdl.handle.net/10091/16284
http://hdl.handle.net/10091/16284096a0b85-92ce-42d6-b114-354880d9da81
名前 / ファイル | ライセンス | アクション |
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Carpal_tunnel_pressure_measurement_during_two-portal_endoscopic.pdf (436.5 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2013-03-05 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Carpal tunnel pressure measurement during two-portal endoscopic carpal tunnel release | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題 | Endoscopic carpal tunnel release, Pressure measurement, Complication, Pressure transducer, Carpal tunnel pressure, ECTR, Transducer | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
著者 |
Uchiyama, S
× Uchiyama, S× Yasutomi, T× Momose, T× Nakagawa, H× Kamimura, M× Kato, H |
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信州大学研究者総覧へのリンク | ||||||
氏名 | Uchiyama, S | |||||
URL | http://soar-rd.shinshu-u.ac.jp/profile/ja.HmACupkh.html | |||||
信州大学研究者総覧へのリンク | ||||||
氏名 | Kato, H | |||||
URL | http://soar-rd.shinshu-u.ac.jp/profile/ja.WVkCbaSp.html | |||||
出版者 | ||||||
出版者 | ELSEVIER SCI LTD | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | CLINICAL BIOMECHANICS. 25(9):893-898 (2010) | |||||
書誌情報 |
CLINICAL BIOMECHANICS 巻 25, 号 9, p. 893-898, 発行日 2010-11 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background: Although there remain concerns of median nerve damage during endoscopic carpal tunnel release for carpal tunnel syndrome, carpal tunnel pressure variations during Chow's two-portal techinique have not been well investigated. Methods: We performed a modified two-portal endoscopic carpal tunnel release on 30 patients by inserting a catheter pressure transducer into the carpal tunnel for continuous pressure measurement during the procedure. Grip and pinch strengths, Semmes-Weinstein monofilament test, and nerve conduction studies were examined preoperatively and at postoperative 1, 3, and 6 months. Numbness and the Disabilities of the Arm, Shoulder and Hand score were also evaluated pre and postoperatively. Findings: Subjective symptoms and nerve conduction study findings improved uneventfully. The pressure was always observed to be maximum pressure immediately before the cannula was withdrawn from the exit portal, and carpal tunnel pressure >300 mm Hg was recorded in most of the patients. Interpretation: A transient increase in the carpal tunnel pressure occurred in all the patients; however, it did not correlate with their clinical outcome or with increased risk of pen-operative complications. Since time-pressure threshold of the median nerve during endoscopic carpal tunnel release is still unknown, our results did not guarantee its safety. | |||||
資源タイプ(コンテンツの種類) | ||||||
内容記述タイプ | Other | |||||
内容記述 | Article | |||||
ISSN | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 0268-0033 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA10673998 | |||||
PubMed | ||||||
識別子タイプ | PMID | |||||
関連識別子 | https://pubmed.ncbi.nlm.nih.gov/20655638 | |||||
関連名称 | 20655638 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1016/j.clinbiomech.2010.06.019 | |||||
関連名称 | 10.1016/j.clinbiomech.2010.06.019 | |||||
権利 | ||||||
権利情報 | Copyright© 2010 Elsevier Ltd. | |||||
出版タイプ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
WoS | ||||||
表示名 | Web of Science | |||||
URL | http://gateway.isiknowledge.com/gateway/Gateway.cgi?&GWVersion=2&SrcAuth=ShinshuUniv&SrcApp=ShinshuUniv&DestLinkType=FullRecord&DestApp=WOS&KeyUT=000283899200007 |