{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,11]],"date-time":"2025-07-11T10:12:46Z","timestamp":1752228766112},"reference-count":19,"publisher":"World Scientific Pub Co Pte Lt","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Hand Surg."],"published-print":{"date-parts":[[2004,12]]},"abstract":"<jats:p> In long-term haemodialysis patients, carpal tunnel syndrome (CTS) frequently occurs as a result of amyloid deposition, originating from beta-2 microglobulin, to the flexor retinaculum, paratenons and tendons themselves, which leads to an increase in carpal canal pressure and compression of the median nerve. Surgical procedures can rectify the condition, but continuing maintenance haemodialysis sometimes causes recurrence. <\/jats:p><jats:p> We endoscopically operated 1848 hands primarily, 104 recurrent post-endoscopic procedure hands and 130 recurrent post-open procedure hands using the Universal Subcutaneous Endoscope (USE) system, then analysed clinical symptoms and electrophysiological recovery for more than six months post-operatively. The patients were satisfied with the clinical results. Optimal electrophysiological improvements were reported. There were no statistical differences between three groups, except in recovery of touch sensation, which was better in the post-endoscopic group than in the post-open group. There were no complications in this series. <\/jats:p><jats:p> Our minimally invasive endoscopic procedure, using the USE system, is safe and effective for primary and recurrent CTS in haemodialysis patients. <\/jats:p>","DOI":"10.1142\/s0218810404002170","type":"journal-article","created":{"date-parts":[[2005,3,23]],"date-time":"2005-03-23T07:03:43Z","timestamp":1111561423000},"page":"165-170","source":"Crossref","is-referenced-by-count":10,"title":["RESULTS OF ENDOSCOPIC MANAGEMENT OF PRIMARY VERSUS RECURRENT CARPAL TUNNEL SYNDROME IN LONG-TERM HAEMODIALYSIS PATIENTS"],"prefix":"10.1142","volume":"09","author":[{"given":"Aya","family":"Yoshida","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Japanese Red Cross Medical Center, 4-1-22, Hiroo, Shibuya-ku, Tokyo 150-8935, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ichiro","family":"Okutsu","sequence":"additional","affiliation":[{"name":"Okutsu Minimally  Invasive Orthopaedic Clinic, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ikki","family":"Hamanaka","sequence":"additional","affiliation":[{"name":"Okutsu Minimally  Invasive Orthopaedic Clinic, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomohide","family":"Motomura","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Japanese Red Cross Medical Center, 4-1-22, Hiroo, Shibuya-ku, Tokyo 150-8935, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"219","published-online":{"date-parts":[[2011,11,20]]},"reference":[{"key":"rf1","doi-asserted-by":"publisher","DOI":"10.1016\/0006-291X(85)91948-5"},{"key":"rf2","first-page":"491","volume":"61","author":"Okutsu I.","journal-title":"J. Jpn. Orthop. Assoc."},{"key":"rf3","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(89)90084-4"},{"key":"rf4","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1016\/0266-7681(88)90166-0","volume":"13","author":"Spencer J. D.","journal-title":"J. Hand Surg. [Br]"},{"key":"rf5","first-page":"35","volume":"28","author":"Yoshida A.","journal-title":"Kansetsukyo"},{"key":"rf6","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1016\/S0266-7681(96)80157-4","volume":"21","author":"Okutsu I.","journal-title":"J. Hand Surg."},{"key":"rf7","first-page":"365","volume":"25","author":"Okutsu I.","journal-title":"Am. J. Orthop."},{"key":"rf8","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1054\/jhsb.2000.0534","volume":"26","author":"Okutsu I.","journal-title":"J. Hand Surg."},{"key":"rf9","first-page":"105","volume":"51","author":"Hashizume H.","journal-title":"Acta Med. Okayama"},{"key":"rf10","doi-asserted-by":"crossref","first-page":"679","DOI":"10.2106\/00004623-198971050-00006","volume":"71","author":"Okutsu I.","journal-title":"J. Bone Joint Surg."},{"key":"rf12","unstructured":"I.\u00a0Okutsu, Proceedings of the 8th Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), ed. E. G. E.\u00a0Ridvan (THK Co., Turkey, 2001)\u00a0pp. 510\u2013515."},{"key":"rf13","first-page":"103","volume":"23","author":"Okutsu I.","journal-title":"Kansetsukyo"},{"key":"rf14","first-page":"127","volume":"25","author":"Baranowski V. D.","journal-title":"Handchir. Mikrochir. Plast. Chir."},{"key":"rf15","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200004050-00010"},{"key":"rf16","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1054\/JHSB.1999.0226","volume":"24","author":"Erhard L.","journal-title":"J. Hand Surg."},{"key":"rf17","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1016\/S0363-5023(98)80164-0","volume":"23","author":"Hulsizer D. L.","journal-title":"J. Hand Surg."},{"key":"rf18","first-page":"80","volume":"54","author":"Kern B. C.","journal-title":"Zentralbl Neurochir"},{"key":"rf19","first-page":"446","volume":"19","author":"Hamanaka I.","journal-title":"J. Jpn. Soc. Surg. 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