A severe infection following endoscopic carpal tunnel release.
A 59-year-old patient underwent endoscopic carpal tunnel release by Chow's two-portal technique. He developed a pyogenic tenosynovitis and an infection within the ulnar and radial bursae, an abscess in the middle palmar, thenar and Parona's space, and a pyogenic wrist arthritis. Surgical treatment included a wide exposure of the infected region, débridement, irrigation, application of a resorbable collagen sponge containing gentamicin, insertion of two drains and primary wound closure. The infection was brought under control and hand function restored.
Rieger
H
H
Accident and Hand Surgery Clinic, Westfälische Wilhelms-University, Münster, Germany.
Grünert
J
J
Brug
E
E
D000038:Abscess / Q000209:etiology / Q000628:therapy; D002349:Carpal Tunnel Syndrome / Q000601:surgery*; D004724:Endoscopy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000628:therapy; D013530:Surgical Wound Infection; D013717:Tenosynovitis / Q000209:etiology / Q000628:therapy