Results of endoscopic management of carpal-tunnel syndrome in long-term ³

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haemodialysis versus idiopathic patients. Okutsu I. Hamanaka I. Ninomiya S. Takatori Y. Shimizu K. Ugawa Y. Nephrology, Dialysis, Transplantation. 8(10):1110-4, 1993. The purpose of this paper is to compare the results of our endoscopic  management of carpal-tunnel syndrome caused by long-term haemodialysis to that with no apparent cause (idiopathic). We have operated on 551 hands in 370 patients using the Universal Subcutaneous Endoscope system under local anaesthesia without a pneumatic tourniquet on an out-patient basis since 1986. Ninety-six hands in 64 patients who suffered from carpal-tunnel syndrome from long-term haemodialysis and 85 hands in 52 patients who suffered from carpal-tunnel syndrome for no apparent cause were statistically analysed using complete pre- and postoperative electrophysiological and clinical studies for periods of time ranging from over 6 months to 4.8 years (mean 16.9 months). Electrophysiological and clinical results showed that our endoscopic management in long-term haemodialysis patients is effective, safe and yields the same results as * in patients who suffered from carpal-tunnel syndrome for no apparent cause. Á