Endoscopically assisted decompression of the median nerve in the pronator and Kiloh-Nevin syndrome: Surgical technique

Leclère, Franck-Marie Patrick; Bignion, D.; Franz, T.; Mathys, Lukas; Vögelin, Esther (2014). Endoscopically assisted decompression of the median nerve in the pronator and Kiloh-Nevin syndrome: Surgical technique. Neurochirurgie, 60(4), pp. 170-173. Elsevier Masson SAS 10.1016/j.neuchi.2013.11.004

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STATE OF THE ART The proximal median nerve compression syndrome includes the pronator teres and the Kiloh-Nevin syndrome. This article presents a new surgical technique of endoscopic assisted median nerve decompression. MATERIAL AND SURGICAL TECHNIQUE Endoscopic scissor decompression of the median nerve is always performed under plexus anaesthesia. It includes 6 key steps documented in this article. We review the indications and limitations of the surgical technique. RESULTS Since 2011, three clinical series have highlighted the advantages of this technique. Functional and subjective results are discussed. We also review the limitations of the technique and its potential for future development. CONCLUSION Although clinical results after endoscopic assisted decompression of the median nerve appear excellent they still need to be compared with conventional techniques. Clinical studies are likely to develop primarily due to the mini-invasive nature of this new surgical technique.

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; Mathys, Lukas and Vögelin, Esther

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0028-3770

Publisher:

Elsevier Masson SAS

Language:

French

Submitter:

Jörg Arnoldi

Date Deposited:

05 Sep 2014 09:09

Last Modified:

06 Nov 2015 10:41

Publisher DOI:

10.1016/j.neuchi.2013.11.004

PubMed ID:

24746169

Uncontrolled Keywords:

Compression nerveuse Constrictions nerveuses Endoscopie Endoscopy Hourglass-like constrictions Kiloh-Nevin syndrome Nerve compression Nerve constriction Pronator teres syndrome Syndrome de Kiloh-Nevin Syndrome pronateur

URI:

https://boris.unibe.ch/id/eprint/58164

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