Kim Poong-Taek, Lee Hyun-Joo, Kim Tae-Gong, Jeon In-Ho
Department of Orthopaedic Surgery, Kyungpook National University School of Medicine, Daegu, Korea.
Department of Orthopaedic Surgery, Park Hospital, Daegu, Korea.
Clin Orthop Surg. 2014 Sep;6(3):253-7. doi: 10.4055/cios.2014.6.3.253. Epub 2014 Aug 5.
With advancement in biomechanical and biological research on idiopathic carpal tunnel syndrome, the insight on the pathophysiology of carpal tunnel syndrome has gained much clinical relevance. Open carpal tunnel release is still a gold standard procedure for carpal tunnel syndrome, which has evolved into mini-open procedure with development of new devices. Endoscopic carpal tunnel release has become popular in recent practice of hand surgery with an advantage of early recovery of hand function with minimal morbidity. However, endoscopic carpal tunnel release has its own limitation such as long learning curve with obvious surgical risk reported in the literature. In this review article, various treatment protocols for idiopathic carpal tunnel syndrome are presented with special highlight on endoscopic carpal tunnel release, which is gaining popularity in current practice.
随着特发性腕管综合征生物力学和生物学研究的进展，对腕管综合征病理生理学的认识已具有重要的临床意义。开放性腕管松解术仍然是治疗腕管综合征的金标准手术，随着新设备的发展，该手术已演变为小切口开放性手术。内镜下腕管松解术在近期的手外科实践中已变得流行，其优点是手部功能恢复早且发病率极低。然而，内镜下腕管松解术有其自身的局限性，如学习曲线长，文献报道有明显的手术风险。在这篇综述文章中，介绍了特发性腕管综合征的各种治疗方案，并特别强调了内镜下腕管松解术，该手术在当前实践中越来越受欢迎。
