Endoscopically assisted nerve decompression of rare nerve compression syndromes at the upper extremity

Leclère, Franck-Marie Patrick; Bignion, Dietmar; Franz, Torsten; Mathys, Lukas; Vögelin, Esther (2013). Endoscopically assisted nerve decompression of rare nerve compression syndromes at the upper extremity. Archives of orthopaedic and trauma surgery, 133(4), pp. 575-82. Springer-Verlag 10.1007/s00402-012-1668-3

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BACKGROUND Besides carpal tunnel and cubital tunnel syndrome, other nerve compression or constriction syndromes exist at the upper extremity. This study was performed to evaluate and summarize our initial experience with endoscopically assisted decompression. MATERIALS AND METHODS Between January 2011 and March 2012, six patients were endoscopically operated for rare compression or hour-glass-like constriction syndrome. This included eight decompressions: four proximal radial nerve decompressions, and two combined proximal median nerve and anterior interosseus nerve decompressions. Surgical technique and functional outcomes are presented. RESULTS There were no intraoperative complications in the series. Endoscopy allowed both identifying and removing all the compressive structures. In one case, the proximal radial neuropathy developed for 10 years without therapy and a massive hour-glass nerve constriction was observed intraoperatively which led us to perform a concurrent complementary tendon transfer to improve fingers and thumb extension. Excellent results were achieved according to the modified Roles and Maudsley classification in five out of six cases. All but one patient considered the results excellent. The poorest responder developed a CRPS II and refused post-operative physiotherapy. CONCLUSION Endoscopically assisted decompression in rare compression syndrome of the upper extremity is highly appreciated by patients and provides excellent functional results. This minimally invasive surgical technique will likely be further described in future clinical studies.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery > Hand Surgery
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery

UniBE Contributor:

Leclère, Franck-Marie Patrick; Bignion, Dietmar; Franz, Torsten; Mathys, Lukas and Vögelin, Esther

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0936-8051

Publisher:

Springer-Verlag

Language:

English

Submitter:

Jörg Arnoldi

Date Deposited:

11 Mar 2014 14:29

Last Modified:

26 Jun 2018 13:30

Publisher DOI:

10.1007/s00402-012-1668-3

PubMed ID:

23417113

BORIS DOI:

10.7892/boris.42638

URI:

https://boris.unibe.ch/id/eprint/42638

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