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Journal of Hand Surgery (British and European Volume)
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Articles

Carpal Tunnel Release by the Agee Endoscopic Technique

Results at 4 year follow-up

L. ERHARD
T. OZALP
N. CITRON
G. FOUCHER

From SOS Main Strasbourg, Strasbourg, France

Correspondence: G. Foucher MD, SOS Main Strasbourg, 4 Boulevard du Président Edwards, F-67000 Strasbourg, France., E-mail: IFSSH{at}aol.com

Ninety-five hands (86 patients) were treated by endoscopic carpal tunnel release using the technique of Agee. They were the first ones operated on by the senior author (GF) using this technique. The patients were interviewed at a mean follow-up of 4.5 years: 72% of hands were free of symptoms and 94% were described by the patients as functionally normal. Seventeen hands (out of 27) with residual or recurrent symptoms were examined. Nine hands (nine patients) were only partially improved (mean 6.7 on a 10 point scale) and in eight hands (seven patients), some symptoms had recurred after a mean delay of 3.8 years. It was possible to find a second pathology in most of these cases. It is necessary to inform the patient before operation that incomplete relief or recurrence of symptoms can occur after endoscopic carpal tunnel release, as with conventional release.

Journal of Hand Surgery (British and European Volume), Vol. 24, No. 5, 583-585 (1999)
DOI: 10.1054/JHSB.1999.0226


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