Evaluating of the Outcomes of Median Nerve Decompression with a Mini Incision Proximal to the Distal Wrist Crease

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dc.authorid
dc.contributor.authorPolat, Ömer
dc.date.accessioned2021-12-01T18:23:25Z
dc.date.available2021-12-01T18:23:25Z
dc.date.issued2019
dc.department[Belirlenecek]en_US
dc.description.abstractAIM: To evaluate the feasibility of the mini-open incision method in patients who underwent median nerve decompression in thecarpal tunnel with a mini incision made proximal to the distal wrist crease.MATERIAL and METHODS: A total of 80 patients (84 hands) operated by a single surgeon with a mini incision were included. Thepatients were evaluated postoperatively for the presence of pillar pain, pain on the incision scar, and scar sensitivity in additionto preoperative findings. The Quick Disabilities of the Arm, Shoulder and Hand (Quick DASH) questionnaire was used for clinicalscoring. To evaluate the effectiveness of the method, the findings were recorded at and compared between at 12 and 24 monthsfollow-ups.RESULTS: No complications were observed at the wound site in the early postoperative period. Ten patients reported numbness,5 experienced weakness, and 4 revealed positive Tinel’s sign. Keloid formation without pain and scar sensitivity was detected in 2patients at 6 months. No patient reported night pain, pain on pillar or incision scar, scar sensitivity, recent sensory loss, and diseaserecurrence. Numbness was present in 7 patients at 12 months and in 3 at 24 months; 3 and 2 patients reported weakness at 12 and24 months, respectively. The mean Quick DASH score was 72.7 preoperatively, 10.2 at 12 months, and 9.1 at 24 months.CONCLUSION: The median nerve decompression in the carpal tunnel may be performed with a mini incision made proximal to thedistal wrist crease is effective and safe method, and provides less complications and higher patient comfort.en_US
dc.identifier.doi10.5137/1019-5149.JTN.26462-19.2
dc.identifier.endpage932en_US
dc.identifier.issn1019-5149
dc.identifier.issue6en_US
dc.identifier.startpage927en_US
dc.identifier.urihttps://doi.org/10.5137/1019-5149.JTN.26462-19.2
dc.identifier.urihttps://app.trdizin.gov.tr/makale/TXpVMk5EZzJOZz09
dc.identifier.urihttps://hdl.handle.net/20.500.12684/9704
dc.identifier.volume29en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.institutionauthorPolat, Ömer
dc.language.isoenen_US
dc.relation.ispartofTurkish Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subject[No Keywords]en_US
dc.titleEvaluating of the Outcomes of Median Nerve Decompression with a Mini Incision Proximal to the Distal Wrist Creaseen_US
dc.typeArticleen_US

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