{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T23:51:41Z","timestamp":1775778701154,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,10,5]],"date-time":"2022-10-05T00:00:00Z","timestamp":1664928000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2022,10,5]],"date-time":"2022-10-05T00:00:00Z","timestamp":1664928000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2022,10,5]],"date-time":"2022-10-05T00:00:00Z","timestamp":1664928000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,10,5]],"date-time":"2022-10-05T00:00:00Z","timestamp":1664928000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T00:00:00Z","timestamp":1665187200000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To determine the endoscopic release superficially rather than deep to the transverse carpal ligament to reduce the incidence of transient symptomatic exacerbation and postoperative absence from work in patients with carpal tunnel syndrome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      From January 2012 to January 2018, patients with idiopathic carpal tunnel syndrome who underwent one\u2010portal endoscopic release superficial to the transverse carpal ligament (ERSTCL) were analyzed. For comparison, a cohort treated with the conventional Chow endoscopic release between February 2008 and October 2013 were included. Transient worsening of symptoms, discrimination sensation, and days off work were assessed. The minimal clinically important difference was calculated for discrimination sensation. Severity of symptom and functional status also were assessed using the Levine\u2010Katz Questionnaire. Significance was set at\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There was a significant difference between the ERSTCL group and the control group regarding the incidence of symptomatic exacerbation 1 week after surgery (2% vs 9%;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .003) but no difference in other time intervals within the initial 3 months. There was a significant difference in 2\u2010point discrimination 1 week (mean change\u00a0= \u20130.13, 95% confidence interval [CI] \u20130.30 to 0.04,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .01) and 2 weeks after surgery (mean change\u00a0= \u20130.18, 95% CI \u20130.36 to \u20130.01,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .033). Postoperative 1 and 2 weeks, 28% and 35% patients in ERSTCL group achieved a minimal clinically important difference, respectively. Compared with control group, the difference in frequencies was statistically significant (28% vs 45%;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .027; 35% vs 57%;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .015). The difference between the 2 groups in postoperative absence from work was statistically significant (95% CI 1.083\u20104.724;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .002), with an average reduction in sick leave of 3 days in ERSTCL group. At a mean follow\u2010up of 3 years, no significant difference was found between the groups regarding symptom and function statuses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Endoscopic release superficial rather than deep to transverse carpal ligament for carpal tunnel syndrome improves\u00a0immediate postoperative transient symptomatic exacerbation, which allows the patients to return to work earlier.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2022.09.013","type":"journal-article","created":{"date-parts":[[2022,10,5]],"date-time":"2022-10-05T19:47:48Z","timestamp":1664999268000},"page":"963","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Endoscopic Release Superficial Rather Than Deep to the Transverse Carpal Ligament for Carpal Tunnel Syndrome Improves Immediate Postoperative Transient Symptomatic Exacerbation With Fewer Absences From Work"],"prefix":"10.1002","volume":"39","author":[{"given":"Ruihong","family":"Wei","sequence":"first","affiliation":[{"name":"Division of Hand and Microvascular Surgery Department of Orthopedic Surgery; Shenzhen Key Laboratory of Musculoskeletal Tissue Reconstruction and Function Restoration Shenzhen People's Hospital Second Clinical Medicine College of Jinan University First Affiliated Hospital of Southern University of Science and Technology Shenzhen Guangdong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chao","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Hand and Microvascular Surgery Department of Orthopedic Surgery; Shenzhen Key Laboratory of Musculoskeletal Tissue Reconstruction and Function Restoration Shenzhen People's Hospital Second Clinical Medicine College of Jinan University First Affiliated Hospital of Southern University of Science and Technology Shenzhen Guangdong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yingnan","family":"Liu","sequence":"additional","affiliation":[{"name":"Division of Hand and Microvascular Surgery Department of Orthopedic Surgery; Shenzhen Key Laboratory of Musculoskeletal Tissue Reconstruction and Function Restoration Shenzhen People's Hospital Second Clinical Medicine College of Jinan University First Affiliated Hospital of Southern University of Science and Technology Shenzhen Guangdong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhaokang","family":"Liu","sequence":"additional","affiliation":[{"name":"Division of Hand and Microvascular Surgery Department of Orthopedic Surgery; Shenzhen Key Laboratory of Musculoskeletal Tissue Reconstruction and Function Restoration Shenzhen People's Hospital Second Clinical Medicine College of Jinan University First Affiliated Hospital of Southern University of Science and Technology Shenzhen Guangdong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongtao","family":"Xiong","sequence":"additional","affiliation":[{"name":"Division of Hand and Microvascular Surgery Department of Orthopedic Surgery; Shenzhen Key Laboratory of Musculoskeletal Tissue Reconstruction and Function Restoration Shenzhen People's Hospital Second Clinical Medicine College of Jinan University First Affiliated Hospital of Southern University of Science and Technology Shenzhen Guangdong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xu","family":"Zhang","sequence":"additional","affiliation":[{"name":"Hand Surgery Department Third Hospital of Hebei Medical University Shijiazhuang Hebei China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yongqing","family":"Zhuang","sequence":"additional","affiliation":[{"name":"Division of Hand and Microvascular Surgery Department of Orthopedic Surgery; Shenzhen Key Laboratory of Musculoskeletal Tissue Reconstruction and Function Restoration Shenzhen People's Hospital Second Clinical Medicine College of Jinan University First Affiliated Hospital of Southern University of Science and Technology Shenzhen Guangdong"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,10,5]]},"reference":[{"key":"e_1_2_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.main.2013.11.010"},{"key":"e_1_2_4_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1558944717751196"},{"key":"e_1_2_4_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-012-2666-z"},{"key":"e_1_2_4_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-013-9572-z"},{"key":"e_1_2_4_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-013-1898-z"},{"key":"e_1_2_4_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-014-3835-z"},{"key":"e_1_2_4_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-020-03306-1"},{"key":"e_1_2_4_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/229255030501300403"},{"key":"e_1_2_4_10_2","first-page":"107","volume-title":"The wrist","author":"Chow J.C.Y.","year":"2001"},{"key":"e_1_2_4_11_2","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.912912"},{"key":"e_1_2_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(89)90084-4"},{"key":"e_1_2_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0712(21)01203-8"},{"key":"e_1_2_4_14_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200207000-00003"},{"key":"e_1_2_4_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38863.632789.1F"},{"key":"e_1_2_4_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000002511"},{"key":"e_1_2_4_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(03)00097-4"},{"key":"e_1_2_4_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000135850.37523.D0"},{"key":"e_1_2_4_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2009.12.034"},{"key":"e_1_2_4_20_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199311000-00002"},{"key":"e_1_2_4_21_2","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.20127"},{"key":"e_1_2_4_22_2","doi-asserted-by":"publisher","DOI":"10.1002\/micr.1920100214"},{"key":"e_1_2_4_23_2","doi-asserted-by":"publisher","DOI":"10.1080\/02844310600652878"},{"key":"e_1_2_4_24_2","first-page":"234","article-title":"Grip strength: Effect of hand dominance","volume":"43","author":"Incel N.A.","year":"2002","journal-title":"Singapore Med J"},{"key":"e_1_2_4_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2013.09.017"},{"key":"e_1_2_4_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2008.03.007"},{"key":"e_1_2_4_27_2","first-page":"12","article-title":"Anatomical study on minimally invasive treatment of carpal tunnel syndrome by palmar single\u2010hole approach","volume":"33","author":"Wei R.","year":"2015","journal-title":"Chinese J Clin Anat"},{"key":"e_1_2_4_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.07.026"},{"key":"e_1_2_4_29_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518786480"},{"key":"e_1_2_4_30_2","doi-asserted-by":"publisher","DOI":"10.1097\/BTH.0000000000000351"},{"key":"e_1_2_4_31_2","doi-asserted-by":"publisher","DOI":"10.1177\/1558944719837020"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806322005862?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806322005862?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2022.09.013","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2022.09.013","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2022.09.013","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:56:22Z","timestamp":1773564982000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2022.09.013"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,5]]},"references-count":30,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,4]]}},"alternative-id":["10.1016\/j.arthro.2022.09.013"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2022.09.013","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Endoscopic Release Superficial Rather Than Deep to the Transverse Carpal Ligament for Carpal Tunnel Syndrome Improves Immediate Postoperative Transient Symptomatic Exacerbation With Fewer Absences From Work","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2022.09.013","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 Published by Elsevier on behalf of the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}