الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
There are different surgical techniques of endoscopic carpal ligament release. These techniques aim at avoiding potential scar morbidities and also allow faster rehabilitation and returning to normal activities. These techniques are classified as either single-portal techniques as Agee’s or Menon’s technique or double-portal techniques as Gilbert and Chow techniques.
We introduced this study to evaluate the efficacy of endoscopic release of carpal tunnel syndrome as regards the hand grip and the return of hand functions. We operated on 20 patients suffered from carpal tunnel syndrome through single-port endoscopic release of the tunnel and the cases were followed up for 6 months.
Patients of the study were 4 males of mean age 35.2 years old and 12 females with mean age 39.2 years old. Twelve of them were house wives, 5 were light workers and 3 were hard workers. Two of our patients had previous non-orthopedic operations and 3 had previous fractures not related to the hand. Their main complain was Pain which was the main symptom in 16 of them, while 12 patients complained of nocturnal paresthesia and 10 had paresthesia.
We evaluated all the patients preoperatively using both DASH and grip scores. The mean DASH score preoperatively was 88.05, while the mean grip score was 16.2. Postoperatively, our patients experienced satisfactory alleviation of their symptoms which were reflected by the results obtained by the scores where the mean DASH scores were 91.45, 97.45 and 97.45 in the 1st postoperative week, 1st postoperative month and first postoperative 3 months respectively, while the mean grip scores were 21.75, 26.8 and 26.8 in the same postoperative periods.
Postoperative complications included pillar pain in 3 patients, incisional pain 2 patients and no nerve injuries were documented. Ten patients restored their daily activities in the first postoperative 2 weeks and the remainders regained their activities over the next 3 months.