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Basal joint arthroplasty and carpal tunnel release through a single incision: An in vitro study
- Source :
- The Journal of Hand Surgery. 29:1085-1088
- Publication Year :
- 2004
- Publisher :
- Elsevier BV, 2004.
-
Abstract
- Purpose Carpal tunnel syndrome coexists with basal joint arthritis in a large percentage of patients. These 2 conditions are often treated surgically through separate incisions. The purpose of this cadaver study is to show the effect of trapeziectomy and transverse carpal ligament release from the scaphoid tubercle on carpal canal pressures. This technique may permit both problems to be addressed through the same Wagner incision. Methods In 4 fresh frozen cadaver limbs pressures in the carpal canal were elevated to 30 mm Hg through a percutaneously placed balloon. Pressures were measured using an 18-gauge sideport needle via a transducer. Trapeziectomy and release of the transverse carpal ligament from the scaphoid were performed in succession through a Wagner incision with canal pressures measured after each step. Results Carpal canal pressures decreased after trapeziectomy (mean, 7 mm Hg; range, 3–14 mm Hg) but did not return to baseline (0 mm Hg) until complete release of the ligament. Conclusions Decompression of the carpal tunnel can be performed effectively through a Wagner incision during basal joint arthroplasty. This cadaver model shows reduction in the canal pressures after trapeziectomy and release of the transverse carpal ligament. This single-incision approach is attractive because it may decrease morbidity compared with a 2-incision approach in patients with concomitant carpal tunnel syndrome and basal joint arthritis.
- Subjects :
- Adult
Male
Wrist Joint
musculoskeletal diseases
medicine.medical_specialty
Decompression
medicine.medical_treatment
Hydrostatic pressure
Comorbidity
In Vitro Techniques
Prosthesis
Cohort Studies
Postoperative Complications
Forearm
Reference Values
Cadaver
Osteoarthritis
Hydrostatic Pressure
medicine
Humans
Orthopedics and Sports Medicine
Carpal tunnel
Carpal tunnel syndrome
Carpal Bones
Scaphoid Bone
business.industry
Anatomy
Middle Aged
Decompression, Surgical
musculoskeletal system
medicine.disease
Carpal Tunnel Syndrome
Biomechanical Phenomena
Surgery
body regions
Treatment Outcome
medicine.anatomical_structure
Thumb
Catheterization, Swan-Ganz
Fractures, Ununited
Ligaments, Articular
Ligament
Female
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 03635023
- Volume :
- 29
- Database :
- OpenAIRE
- Journal :
- The Journal of Hand Surgery
- Accession number :
- edsair.doi.dedup.....8310bafa9b636eaf8fa18edfeb337b48
- Full Text :
- https://doi.org/10.1016/j.jhsa.2004.07.003