Anantharamakrishnan Ganesh, Elangovan Pradeep, Nagasamy Silambarasi, R Pooja Sunithi, Pandian Haemanath, Mohideen Sheik
Department of Orthopaedics, Chettinad Hospital and Research Institute, Kelambakkam, Tamil Nadu, India.
J Orthop Case Rep. 2024 Dec;14(12):32-35. doi: 10.13107/jocr.2024.v14.i12.5008.
Carpal tunnel syndrome (CTS) is the most common compressive neuropathy, often leading to significant impairment, especially in patients with bilateral involvement. When conservative trials fail, surgical options such as open, mini-open, and endoscopic carpal tunnel release are considered. This report highlights the use of single-stage bilateral mini-open carpal tunnel release, emphasizing its efficiency, reduced recovery time, and cost-effectiveness.
A 58-year-old female with hypothyroidism presented with a history of numbness and tingling in the thumb, index, and middle fingers of both hands. Despite conservative management, symptoms persisted. The patient opted for a single-stage bilateral mini-open carpal tunnel release to save time and costs. The patient resumed daily activities within 2 weeks, showing significant improvement in disabilities of the arm, shoulder, and hand and Boston CTS questionnaire scores.
The mini-open technique for single-stage bilateral carpal tunnel release is an effective and efficient option for managing bilateral CTS. It provides adequate exposure and meticulous decompression, offering the benefits of both open and endoscopic methods while minimizing their drawbacks. This approach significantly improves patient outcomes and satisfaction.
腕管综合征（CTS）是最常见的压迫性神经病变，常导致严重功能障碍，尤其是双侧受累的患者。当保守治疗失败时，可考虑采用诸如开放式、微型开放式和内镜下腕管松解术等手术方式。本报告重点介绍了单阶段双侧微型开放式腕管松解术的应用，强调了其有效性、缩短恢复时间以及成本效益。
一名58岁甲状腺功能减退女性患者，双手拇指、示指和中指有麻木及刺痛史。尽管进行了保守治疗，症状仍持续存在。患者选择单阶段双侧微型开放式腕管松解术以节省时间和费用。患者在2周内恢复日常活动，手臂、肩部和手部功能障碍及波士顿腕管综合征问卷评分有显著改善。
单阶段双侧腕管松解的微型开放技术是治疗双侧腕管综合征的一种有效且高效的选择。它提供了充分的显露和细致的减压，兼具开放式和内镜式方法的优点，同时将其缺点降至最低。这种方法显著改善了患者的治疗效果和满意度。
