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Endoscopic release for carpal tunnel syndrome accompanied by thenar muscle atrophy.

机译:腕管综合症的内窥镜释放伴有the肌萎缩。

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摘要

PURPOSE: The objective of this study was to ascertain whether endoscopic carpal tunnel release (ECTR) is indicated for treatment of carpal tunnel syndrome accompanied by thenar muscle atrophy. TYPE OF STUDY: Prospective cohort study. METHODS: Two-portal ECTR was performed on 67 hands in 52 patients with carpal tunnel syndrome accompanied by thenar muscle atrophy. RESULTS: Preoperative severity of thenar muscle atrophy was severe in 24 hands, moderate in 23 hands, and mild in 20 hands. Postoperative severity of thenar muscle atrophy was severe in 6 hands, moderate in 2 hands, mild in 23 hands, and none in 36 hands. CONCLUSIONS: Improvements with thenar muscle function in most cases of carpal tunnel syndrome can be expected with 2-portal ECTR. LEVEL OF EVIDENCE: Level IV.
机译:目的:本研究的目的是确定内镜下腕管松解术(ECTR)是否适用于伴有鼻肌萎缩的腕管综合征。研究类型:前瞻性队列研究。方法:对52例腕管综合症伴有鱼际肌萎缩症的患者的67只手进行了两门ECTR。结果:术前肌肉萎缩的严重程度为24手严重,中度23手,轻度20手。术后肛门肌肉萎缩的严重程度为6手严重,2手为中度,23手为轻度,36手为轻度。结论:2门ECTR可以在大多数腕管综合症的病例中改善脚踝肌肉的功能。证据级别:IV级。

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