Endoscopic Carpal Tunnel Release Surgery

[turbotrauma]

The CTS symptoms are gone, but now my hand has this weird 'ambient' numbness to it and these weird nerve issues when I tough certain parts of my hand. I sorely missing have a palm! It's been 10 months and my hand still hurts, it puffed out a bit like a balloon with the ligament gone. Doc never told me that would happen. I wish I could find a way to reverse the surgery. In France I hear they have docs who can give you an implant to replace the TCL. I'm happy that I only had the left hand done!

[fejjtniw]

@turbotrauma @turbotrauma In endoscopic carpal tunnel release the palmar fascia remains untouched, intact. The Transverse carpal Ligament reheals in all CTR. The amount that the ligament springs open is only a few millimeters.The one study of an implant compared OPEN release to a limited procedure with implant. The study is biased by reporting results in grip at one month after surgery.

The ligament may have focal limited use but not for what you describe

[stix471]

i never want to look at my wrist again... EVERRR!!!

[GoldenShaolinNutz]

i think all your comments are wrong. thats his foot. i think u all are in dire need of a cranial, rectal reversion=)

[sugarpuddin88]

Ever wonder why these surgeries ALWAYS fail?

Although the "sensation" of trouble is at the wrest, the actual cause is impingement of the median nerve around the pronator teres muscle (proximal to the elbow)!

USA medicine is ranked 54th in world, (The World Health Organization ranked the countries of the world in terms of over all health performance, and the US (was) 37th; In fairness of care, USA is ranked 54th)

[HANDCenter]

@sugarpuddin88

i disagree with all your comments.

first of all the pronator teres is NOT proximal to the elbow

second if the median nerve were compressed above the elbow there would be weakness of forearm muscles which are not weak in carpal tunnel and a different sensory pattern finally surgery works very well for most people many studies show that it is more efficient to have surgery immediately

[accordguy0325]

@sugarpuddin88

Sounds like a line straight out of the Obamacare mantra - thanks but no thanks.

[keyYaksar]

Aynı rahatsızlıktan şikayetçiyim. Güzel bir video, rahatladım yani endişelerim boşunaymış.

[fejjtniw]

@keyYaksar

I am happy that the video helped you (google translation)

Ben mutlu video yardımcı am siz (google çeviri)

[h5y]

Good video.

[mahuubao]

very well explained

[Synthetrix]

I am having this procedure done tomorrow. It's interesting to see what will happen.

[turbotrauma]

@Synthetrix how did the surgery go? i had this done on my left hand back in 9/2010... i regret it every day of my life.

[Synthetrix]

@turbotrauma It went well. I rarely get any of the numbness I had before. I wished I would have done it sooner.

[accordguy0325]

@turbotrauma

why do you regret it > ?

[fejjtniw]

However I still personally think that initial splinting after ECTR is worthwhile.

I do not know of a case of bowstringing in a routine ECTR whether this changes by not surgically cutting of the palmar fascia and doing "less" to the associated adjacent anatomy that you prevent bowstringing.

By the way.. if you have seen this video and are interested further you can hear a podcast about endoscopic carpal tunnel release on itunes by searching for hand sugery podcast

[racevws]

Thank you for taking the time to inform me on this. I am a first year in DPM school right now and was considering the differences between hand and foot with respect to retinacula. Your reply was very informative.

[fejjtniw]

Bowstringing is a complex issue that does not typically happen in carpal tunnel release but certainly has been described in association with an open standard CTR. I personally have not seen in but that may be due to the way the palmar fascia is handled even wiht open release practicing a "less is more" type of surgery. In times of the dinosaurs and pangea when routine flexor tenolysis was done during ctr bowstringing may have been more of an issue.

[racevws]

How do you avoid 'bow stringing' of the flexor tendons?

[egglot12]

that shit is so cool. man, i wish i could go to med school so bad. oh well...

[sparklerblue]

Looks like it was a good thing I was under when I had this done!!!

[XxH3adxshotxX]

so nasty yet I cant look away

[linawui]

excellent