在腕部局部麻醉无止血带（WALANT）技术及超声辅助下，采用环指指浅屈肌腱进行内镜下腕管松解术并同时行对掌肌成形术。
Endoscopic carpal tunnel release with opponensplasty using ring finger flexor digitorum superficialis under WALANT with ultrasound assistance.
作者信息
Gueffier Xavier, Younis Fizan
机构信息
Artezieux Center, 40 Avenue des Alpes, 38300, Bourgoin Jallieu, France.
Beardwood Hospital, Preston New Road, Blackburn, Lancashire, BB2 7AE, United Kingdom.
出版信息
J Hand Microsurg. 2024 Jul 17;16(4):100116. doi: 10.1016/j.jham.2024.100116. eCollection 2024 Oct.
Abstract
In patients with severe, long-standing carpal tunnel syndrome and thenar muscle atrophy, nerve decompression alone is unlikely to restore thumb opposition. A multitude of tendon transfer techniques have been described to restore thumb opposition. We describe the technique of an endoscopic carpal tunnel release with opponensplasty using ring finger flexor digitorum superficialis (FDS) tendon under Wide Awake Local Anaesthesia No Tourniquet (WALANT) and ultrasound assistance.
摘要
对于患有严重、长期腕管综合征且大鱼际肌萎缩的患者，仅进行神经减压不太可能恢复拇指对掌功能。已有多种肌腱转移技术被描述用于恢复拇指对掌功能。我们描述了一种在清醒局部麻醉无止血带（WALANT）和超声辅助下，使用环指浅屈肌腱（FDS）进行内镜下腕管松解并同时行对掌成形术的技术。
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