Fernandes Carlos Henrique, Nakachima Luis Renato, Hirakawa Celso Kiyoshi, Gomes Dos Santos João Batista, Faloppa Flavio
Hand Surgery Group, Department of Orthopedic Surgery, Universidade Federal de São Paulo, Rua Borges Lagoa 1065, cj 68/69, Sao Paulo, Sao Paulo CEP 04038-032 Brazil.
Hand (N Y). 2014 Mar;9(1):48-51. doi: 10.1007/s11552-013-9566-x.
Carpal tunnel syndrome (CTS) is the most commonly diagnosed and treated entrapment neuropathy. There is no consensus regarding the optimal technique for carpal tunnel release. The objective of this study is to demonstrate the surgical treatment of CTS by a small palmar incision and utilization of Paine retinaculotome to divide the transverse carpal ligament.
In this technical note, we describe the use of a retinaculotome described by Paine in 1955, through a palmar approach.
Open, minimally invasive and endoscopic surgical techniques have all been described as treatment options for CTS, and short-term success with these methods is well established. During the last decade, less invasive techniques have been developed in order to reduce the incidence of pillar pain and tender scars. We have used a mini-palmar incision and the Paine retinaculotome for carpal tunnel release since 1994. The goals of surgery are to create a small incision that permits a patient to have early motion and return to activity.
After many years, no permanent nerve or vascular damage has been reported. This method has demonstrated itself to be efficient and safe in the treatment of the carpal tunnel syndrome.
腕管综合征（CTS）是最常被诊断和治疗的卡压性神经病变。对于腕管松解的最佳技术尚无共识。本研究的目的是展示通过手掌小切口和使用佩恩支持带刀切开腕横韧带治疗CTS的手术方法。
在本技术说明中，我们描述了1955年佩恩所描述的支持带刀通过手掌入路的使用方法。
开放手术、微创和内镜手术技术均已被描述为CTS的治疗选择，并且这些方法的短期成功率已得到充分证实。在过去十年中，为了降低柱部疼痛和瘢痕压痛的发生率，已开发出侵入性较小的技术。自1994年以来，我们一直使用手掌小切口和佩恩支持带刀进行腕管松解。手术的目标是创建一个小切口，使患者能够早期活动并恢复日常活动。
多年来，未报告有永久性神经或血管损伤。该方法已证明在治疗腕管综合征方面有效且安全。
