Algorithm of surgical tactics for the treatment of carpal tunnel syndrome

Carpal tunnel syndrome is the most common of compression neuropathies and in structure upper limb syndromes. Surgical treatments are diverse clarifications indications for implementation each them will allow to individualize behavior intervention. Purpose work – clarify determining factors classical advanced minimally invasive intervention carpal syndrome; evaluate effectiveness such an approach. We observed 52 patients with unsuccessful conservative treatment; electroneuromyographic ultrasound signs gross changes structures canal. There were 19 men 33 women (36.5% 63.5%, respectively). In 28 (group 1), surgical was performed according technique from incision 5.0-5.5 cm. treatment 24 carried out access up 2.5 cm (minimally intervention). They made 2nd group. The dynamics indicators Boston BCTQ questionnaire visual analogue scale indicated a greater severity symptoms, functional pain disorders hand after 4 weeks extended group compared similar before However, by 3 6 months, results converge practically do not differ. Similar good indicate correctness chosen tactics validity individual approach nature scope