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논문 기본 정보

자료유형
학술저널
저자정보
Yoo, Hye Mi (Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, GNUH Gyeongsang National University School of Medicine) Lee, Kyoung Suk (Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, GNUH Gyeongsang National University School of Medicine) Kim, Jun Sik (Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, GNUH Gyeongsang National University School of Medicine) Kim, Nam Gyun (Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, GNUH Gyeongsang National University School of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제42권 제3호
발행연도
2015.1
수록면
327 - 333 (7page)

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Background An anatomical analysis of the transverse carpal ligament (TCL) and the surrounding structures might help in identifying effective measures to minimize complications. Here, we present a surgical technique based on an anatomical study that was successfully applied in clinical settings. Methods Using 13 hands from 8 formalin-fixed cadavers, we measured the TCL length and thickness, correlation between the distal wrist crease and the proximal end of the TCL, and distance between the distal end of the TCL and the palmar arch; the TCL cross sections and the thickest parts were also examined. Clinically, fasciotomy was performed on the relevant parts of 15 hands from 13 patients by making a minimally invasive incision on the distal wrist crease. Postoperatively, a two-point discrimination check was conducted in which the sensations of the first, second, and third fingertips and the palmar cutaneous branch injuries were monitored (average duration, 7 months). Results In the 13 cadaveric hands, the distal wrist crease and the proximal end of the TCL were placed in the same location. The average length of the TCL and the distance from the distal TCL to the superficial palmar arch were $35.30{\pm}2.59mm$ and $9.50{\pm}2.13mm$, respectively. The thickest part of the TCL was a region 25 mm distal to the distal wrist crease (average thickness, $4.00{\pm}0.57mm$). The 13 surgeries performed in the clinical settings yielded satisfactory results. Conclusions This peri-TCL anatomical study confirmed the safety of fasciotomy with a minimally invasive incision of the distal wrist crease. The clinical application of the technique indicated that the minimally invasive incision of the distal wrist crease was efficacious in the treatment of the carpal tunnel syndrome.
#Carpal tunnel syndrome #Median nerve #Anatomy #Wrist #Cadaver

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참고문헌 (18)

참고문헌 신청
Paget J. / 1854 / Lectures on surgical pathology / Lindsay & Blakiston google schola Pfeffer GB / 1988 / The history of carpal tunnel syndrome / J Hand Surg Br 13:28~34 google schola Learmonth JR. / 1933 / The principle of decompression in the treatment of certain diseases of peripheral nerves / Surg Clin North Am 13:905~913 google schola Atroshi I / 1999 / Prevalence of carpal tunnel syndrome in a general population / JAMA 282:153~158 google schola Graham B / 2006 / Development and validation of diagnostic criteria for carpal tunnel syndrome / J Hand Surg Am 31:919~924 google schola

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