- Training
- 06/11/2023
- USA
Simultaneous Guyon’s Canal and Carpal Tunnel Release
Description
This video presentation features the surgical case of a simultaneous Guyon's canal release and carpal tunnel release, presented by Colin Pavano and Joel Ferreira for the ASSH video theater of 2023. The content covers a detailed review of Guyon’s canal syndrome, characterized by ulnar nerve compression at the wrist leading to sensory disturbances in the small and ring fingers, and potential weakness of intrinsic hand muscles. The video delves into the anatomy of the ulnar tunnel, outlining key structures involved and their implications for surgical intervention.
The patient's case is carefully illustrated, highlighting the symptoms experienced by a 35-year-old female with a history of numbness and tingling in her fingers. The diagnosis is supported by EMG and nerve conduction studies revealing severe ulnar nerve compression alongside moderate median nerve compression.
The surgical techniques employed are meticulously demonstrated, starting with patient preparation in the operating room, marking the surgery site, and identifying bony landmarks for incision. The procedure involves careful dissection, release of compressive structures, and ensuring complete decompression of both ulnar and median nerves.
The video also emphasizes postoperative care, including wound management and recommendations for rehabilitation to prevent stiffness. Follow-up plans are laid out for monitoring the patient's recovery. This educational presentation serves as an in-depth exploration of the surgical approach to treating dual nerve compressions, offering insights into the complexities of hand surgery.
Part of: Surgical Techniques and Training Collection
"Simultaneous Guyon’s Canal and Carpal Tunnel Release" is included in the following Surgical Techniques and Training playlist: