Endoscopic carpal surgery in carpal tunnel syndrome: A systematic review
Objective: Endoscopic carpal tunnel release has become increasingly popular and has shown the advantage of early recovery of hand function with minimal morbidity. In this systematic review, we aimed to summarize the currently available data and describe the reported advantages and disadvantages of e...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-06-01
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| Series: | SAGE Open Medicine |
| Online Access: | https://doi.org/10.1177/20503121231177111 |
| _version_ | 1797808811634851840 |
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| author | Wongthawat Liawrungrueang Sunton Wongsiri Peem Sarasombath |
| author_facet | Wongthawat Liawrungrueang Sunton Wongsiri Peem Sarasombath |
| author_sort | Wongthawat Liawrungrueang |
| collection | DOAJ |
| description | Objective: Endoscopic carpal tunnel release has become increasingly popular and has shown the advantage of early recovery of hand function with minimal morbidity. In this systematic review, we aimed to summarize the currently available data and describe the reported advantages and disadvantages of endoscopic carpal tunnel surgery for treating carpal tunnel syndrome. Methods: In this study, we followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, which is a set of reporting requirements for systematic reviews and meta-analyses. The search strategy with MeSH terms was “MeSH (carpal tunnel syndrome) AND (endoscopic)” Filters: in the last 5 years, English—on February 27th, 2022. A total of 131 articles fulfilled the first screening criteria. A detailed analysis of those articles identified 39 that matched the criteria, of which 14 were considered appropriate for this analysis after applying the complete inclusion and exclusion criteria. Results: A total of 14 studies met the eligibility criteria. Analysis of those studies found that all types of portals in endoscopic carpal tunnel release reduced postoperative pain at a short-term follow-up. There was no evidence to suggest the superiority of the single- or two-portal techniques in terms of outcomes. In terms of pain relief, symptom resolution, patient satisfaction, duration to return to work, and adverse events, this early use of endoscopic carpal tunnel release produced satisfactory outcomes. Further studies comparing the number of portals are needed. Conclusion: Endoscopic carpal tunnel surgery for treating carpal tunnel syndrome is effective and both single- and dual-portal techniques provide advantages in terms of early recovery and minimal morbidity. |
| first_indexed | 2024-03-13T06:43:12Z |
| format | Article |
| id | doaj.art-52a489206e544679977515fb1ea8b0e5 |
| institution | Directory Open Access Journal |
| issn | 2050-3121 |
| language | English |
| last_indexed | 2024-03-13T06:43:12Z |
| publishDate | 2023-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medicine |
| spelling | doaj.art-52a489206e544679977515fb1ea8b0e52023-06-08T13:06:12ZengSAGE PublishingSAGE Open Medicine2050-31212023-06-011110.1177/20503121231177111Endoscopic carpal surgery in carpal tunnel syndrome: A systematic reviewWongthawat Liawrungrueang0Sunton Wongsiri1Peem Sarasombath2Division of Research, School of Medicine, University of Phayao, Phayao, ThailandDepartment of Orthopaedics, Faculty of Medicine, Prince of Songkla University, Hat Yai, ThailandDepartment of Orthopaedics, Faculty of Medicine, Chiang Mai University, Chiang Mai, ThailandObjective: Endoscopic carpal tunnel release has become increasingly popular and has shown the advantage of early recovery of hand function with minimal morbidity. In this systematic review, we aimed to summarize the currently available data and describe the reported advantages and disadvantages of endoscopic carpal tunnel surgery for treating carpal tunnel syndrome. Methods: In this study, we followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, which is a set of reporting requirements for systematic reviews and meta-analyses. The search strategy with MeSH terms was “MeSH (carpal tunnel syndrome) AND (endoscopic)” Filters: in the last 5 years, English—on February 27th, 2022. A total of 131 articles fulfilled the first screening criteria. A detailed analysis of those articles identified 39 that matched the criteria, of which 14 were considered appropriate for this analysis after applying the complete inclusion and exclusion criteria. Results: A total of 14 studies met the eligibility criteria. Analysis of those studies found that all types of portals in endoscopic carpal tunnel release reduced postoperative pain at a short-term follow-up. There was no evidence to suggest the superiority of the single- or two-portal techniques in terms of outcomes. In terms of pain relief, symptom resolution, patient satisfaction, duration to return to work, and adverse events, this early use of endoscopic carpal tunnel release produced satisfactory outcomes. Further studies comparing the number of portals are needed. Conclusion: Endoscopic carpal tunnel surgery for treating carpal tunnel syndrome is effective and both single- and dual-portal techniques provide advantages in terms of early recovery and minimal morbidity.https://doi.org/10.1177/20503121231177111 |
| spellingShingle | Wongthawat Liawrungrueang Sunton Wongsiri Peem Sarasombath Endoscopic carpal surgery in carpal tunnel syndrome: A systematic review SAGE Open Medicine |
| title | Endoscopic carpal surgery in carpal tunnel syndrome: A systematic review |
| title_full | Endoscopic carpal surgery in carpal tunnel syndrome: A systematic review |
| title_fullStr | Endoscopic carpal surgery in carpal tunnel syndrome: A systematic review |
| title_full_unstemmed | Endoscopic carpal surgery in carpal tunnel syndrome: A systematic review |
| title_short | Endoscopic carpal surgery in carpal tunnel syndrome: A systematic review |
| title_sort | endoscopic carpal surgery in carpal tunnel syndrome a systematic review |
| url | https://doi.org/10.1177/20503121231177111 |
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