Search In this Thesis
   Search In this Thesis  
العنوان
Outcome Assessment of Carpal Tunnel Release Via Mini-OpenWrist Crease Incision Vs. Standard Open Releasein Suez Canal University Hospitals /
المؤلف
Muslim, Mohamed Abd El Azeem Abo
هيئة الاعداد
مشرف / محمد عبد العظيم أبو مسلم
مشرف / حسن احمد الشطوري
مشرف / أحمد محمد عبد المنعم
مشرف / محمد عباس عبد العزيز
الموضوع
Neurosurgery.
تاريخ النشر
2023
عدد الصفحات
123 P .:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
1/1/2023
مكان الإجازة
جامعة قناة السويس - كلية الطب - Neurosurgery
الفهرس
Only 14 pages are availabe for public view

from 127

from 127

Abstract

Carpal tunnel syndrome is one of the most common entrapment pathologies. Its presence causes impairment of hand function and carries significant burden upon patients life especially in our developing countries where manual work is a necessity for people with low socioeconomics.
Treatment for moderate to severe carpal tunnel syndrome is usually surgical decompression and the gold standard technique is the open carpal tunnel release. Although it has its advantages, this technique has shown some undesirable disadvantages. Therefore, many techniques have been developed to overcome the disadvantages of this technique such as endoscopic carpal tunnel release, mini open longitudinal and transverse wrist crease incision technique.
In this study we aimed to compare the outcome of mini-open wrist crease incision technique with the standard open technique. We used the Boston carpal tunnel questionnaire, VAS score, wrist ultrasound of median nerve and nerve conduction studies to assess all the study sample and compare its results preoperatively with those post operatively.
In this study we performed 48 carpal tunnel release surgeries with predominance to females representing 42 hands (87.5% ). The ages ranged from 31 years to 70 years with a mean of 44.81 years . The BMI ranged from 22 to 44 kg/m2 with a mean of 32.52 kg/m2. The workload of manual activity was found moderate in 38 patients (79.2%) and heavy in 10 patients (20.8%). In addition, we found no correlation between the workload severity and the outcome in both groups, however this relation needs further study.