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| UDK 616.833-089 | ISSN 0350-2899, 33(2008) br.1-2 p.17-21 | ||||||||||
| Original paper Carpal tunnel syndrome - Diagnostics and open decompression - Our experienceIgor Maljković, Miodrag Jovanović, Dragoslav Božilović, Danijela
Ivanović |
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| Summary: Carpal tunnel syndrome, or compression of the median nerve beneath the transverse carpal ligament is the most common entrapment neuropathy, more often found in women. Patients describe numbness and tingling in the thumb, index, long, and half of the ring finger. Numbness and pain are worse at night, often causing nocturnal awakening. Initial treatment of carpal tunnel syndrome employs wrist splinting and the use of nonsteroidal antiinflammatory drugs. Activity modification and therapeutic exercises also may improve symptoms. The next step in treatment is injection of the carpal canal. The general indication for surgical treatment of idiopathic CTS is the lack of symptomatic improvement with nonoperative modalities. Open decompression, with longitudinal sectioning the TCL has been shown to increase the volume of carpal canal, consistently reducing patient’s symptoms within a relatively short period of time. This technique affords full inspection of the TCL and the contents of the carpal canal. 19 decompressions of median nerve were performed at the Department of Orthopaedics during 2006 and 2007. There were 12 patients, 8 females and 4 males. The average patients’ age was 44. All patients were first treated by the physiatrist and were examined electromiographically both before and after open decompression. The patients were discharged from hospital 1 or 2 days after surgery, and were absent from work during 6 weeks. All patients had improvement - complete resolving of symptoms (pain and numbness) during the first 6 weeks happened in 16 patients (84%), and the other 3 patients (16%) had partial restitution. There were no major complications, like nerve damage. Open decompression of TCL is a fairly simple and highly efficient method of treatment that in short time alleviates symptoms of the disease and and can be performed in any hospital with the operating theathre. Key words: Carpal tunnel syndrome, diagnostics and open decompression, experience Napomena: kompletan tekst rada na srpskom jeziku Note: full text in Serbian |
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Corresponding Address: Igor Maljković Zdravstveni centar Bor e-mail: maljkovicigor@gmail.com Paper received: 1.4.2008 Paper accepted: 20.8.2008 Published online: 20.10.2008 |
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