Ultramínimamente invasive surgery on the injury Carpal Tunnel

Written by: Dr. Manuel Villanueva Martínez
Published:
Edited by: Top Doctors®

carpal tunnel syndrome The Carpal tunnel syndrome is an entrapment of the median nerve as it passes through the wrist. It affects 3% of the population along their life, but up to 5% of women who suffer more than men, and manual workers.

 

 

Carpal Tunnel Symptoms and Causes

Patients suffering this syndrome when they go to the doctor's Traumatólogo presented as main symptom numbness of the first three fingers and part of the fourth finger. They also have strength loss, tingling or discomfort at night or when doing repetitive activities that makes them have to get up and move your hand.

Increasingly more cases are occurring because of the so-called "technopathies". Continually we use keyboards, mice, telephones and perform actions that make us have wrists in contorted positions, compressing the nerve. Carpal tunnel syndrome affects those professions where they have to use repeatedly the hand work force or strike or other such activities.

Patients with rheumatic diseases or endocrine diseases such as hypothyroidism, rheumatic joint disease or even pregnant women, occur more often this clinical picture.

 

Carpal Tunnel diagnosis

The diagnosis is made ​​by clinical examination with a series of maneuvers, compression or bending forced the doctor has tried to interpret cause or exacerbate the symptoms of our patients complain.

It can also be confirmed by electromyography, but up to 10% of cases electromyography out normal because the patient has a syndrome Carpal Tunnel dynamic, only in those positions where it is straining the nerve. Treatment with conservative measures: correction of posture, muscle strengthening has relatively consistent results.

 

Carpal Tunnel Treatment

The most effective treatment is the release Carpal Tunnel can be done by conventional surgery more or less invasive, with cuts ranging from 4-5 cm 1-2 cm. All these incisions and this type of surgery requires: leave the hand without blood circulation, anesthesia around the arm, deeper, give points and recoveries are much longer, from one month to three months, depending on the box.

Currently, the syndrome can be treated by ultrasound-guided invasive surgery ultramínimamente consisting numb only the area where the nerve is compressed, without ischemia, put the scanner top with an incision in the wrist of a millimeter, which does not require points, we enter the special knife and release the carpal tunnel. With this technique we are permitted to operate both hands at once The advantage is that patients move the hand, they used the next time the operation is complete and many if they have weight problems do not need to take any days off work .

*Translated with Google translator. We apologize for any imperfection

By Dr. Manuel Villanueva Martínez
Orthopaedic Surgery

Dr. Villanueva Martinez is a licensed surgeon by the Autonomous University of Madrid and Specialist in Orthopaedic Surgery and Traumatology. It is the first Spanish traumatologo awarded by the American Academy of Orthopaedic Surgeons (AAOS ), now 4 times, for various surgical techniques in the field of reconstructive lacirugia hip, knee and foot and for the first time in the field of surgery ultra-guided minimally invasive ultrasound in sports medicine and traumatology. Noted for its advances in the treatment of sports injuries. Their commitment is to provide patients the latest techniques through its pursuit of excellence, innovation and multidisciplinary surgical treatment whenever possible. Author of six surgical techniques included in the catalog of continuing formation of the ( AAOS ), cofounder of the Platform Avanfi www.tulesiondeportiva.com and director of the Sports Medicine Institute.

*Translated with Google translator. We apologize for any imperfection

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