OBJECTIVE In most patients with carpal tunnel syndrome (CTS), pain and/or paresthesia disappeared or decreased in a month after endoscopic carpal tunnel release (ECTR). However, subpopulation of patients showed delayed improvement following ECTR. We analyzed the delayed improvement hands to investigate the characteristics of those patients and to determine the predictable factors of delayed imp...

Carpel tunnel syndrome (CTS) is a condition in which median nerve compression results in paresthesias and pain in thewrist and hand. We are going to report a rare case of topiramate-induced neuropathy which clinically resembles CTS.Discontinuation of topiramate resulted in spontaneous resolution of numbness, paresthesia and pain in a few days. Highclinical suspicion is advised in patients who a...

A new technique of endoscopic carpal tunnel release using a 1.5-cm longitudinal palmar incision was used in 280 cases. The incision allows identification of the superficial palmar arch as well as the median nerve and its branches. A new knife/sleeve device that attaches to a standard 4-mm endoscope was created to simplify the procedure. The flexor retinaculum is endoscopically divided proximall...

Endoscopic carpal tunnel release involves a limited surgical exposure to release the transverse carpal ligament* (TCL).‘** Topographic landmarks can provide valuable reference points to enhance an operation. The hook of the hamate is a useful guide to the ulnar (safe) border of the carpal canal but can be difficult to palpate. Kaplan’s cardinal line has been used to estimate the position of the...

Background/objective Tarsal tunnel syndrome is a relatively rare entrapment neuropathy with the lateral and medial plantar nerves entrapped inside of the tarsal tunnel. When conservative treatment fails, standard open decompression of the nerve can be achieved by releasing the flexor retinaculum of the foot through a several-centimetre-long skin incision made along the tarsal tunnel. By contras...

Background: Carpal tunnel syndrome (CTS) is peripheral entrapment neuropathy in which compression of the median nerve at wrist occurs. Objective: To evaluate and study, ultrasound nerve-conduction predicting outcome after open surgical release carpel syndrome. Patients Methods: This prospective observational include 30 patients from out-patient Neurology orthopedic clinics Al Azhar Assuit Unive...

BACKGROUND Local anesthesia is widely used for open carpal tunnel release. However, injection of local anesthesia as described by Altissimi and Mancini (1988) can interfere with endoscopic carpal tunnel release, by increasing the bulk of synovial layers and consequently result in worsening of the view. PURPOSE The purpose of this study was to evaluate the safety, efficacy using modified techn...