New approaches to the diagnosis and surgical treatment of tunnel syndromes of the upper limb

The purpose of the work was to evaluate modern methods diagnosis that determined state vegetative fibers, tunnel morphology, and surgical treatment syndrome. There were 30 healthy individuals (control group) 45 patients (16 with compression ulnar nerve in zone cubital canal, 27 carpal canal syndrome median 2 Guyon syndrome). Clinical-roentgenologic methods, electroneuromyography (ENMG), ultrasonography, computer tomography, Lazer Doppler flowmetry (LDF), ultrasound dopplergraphy wrist used. syndromes is based on a through clinical-roentgenologic instrumental evaluation trunk fibers function. Not only ENMG assessment sensor motor innervation expedient but neurogenic LDF indices stipulated by sympathic as well. Auxiliary diagnostic method ultrasonography which provides information morphology structures, topography general sizes nerves zone. All underwent intervention for decompression trunks. It first time endoscopic dissection ligament has been used at our clinic 7 early stages (I-II) disease. Endoscopic an effective lower invasive allows restore working ability process short time.