title: [Endoscopically assisted decompression of the median nerve in the pronator and Kiloh-Nevin syndrome: Surgical technique].
abstract: BACKGROUND
  The proximal median nerve compression syndrome includes the pronator teres and the Kiloh-Nevin syndrome. This article presents a new surgical technique of endoscopic assisted median nerve decompression.
  
  
  METHODS
  Endoscopic scissor decompression of the median nerve is always performed under plexus anaesthesia. It includes 6 key steps documented in this article. We review the indications and limitations of the surgical technique.
  
  
  RESULTS
  Since 2011, three clinical series have highlighted the advantages of this technique. Functional and subjective results are discussed. We also review the limitations of the technique and its potential for future development.
  
  
  CONCLUSIONS
  Although clinical results after endoscopic assisted decompression of the median nerve appear excellent they still need to be compared with conventional techniques. Clinical studies are likely to develop primarily due to the mini-invasive nature of this new surgical technique.
authors.affiliation: Service de chirurgie plastique, chirurgie de la main et des nerfs périphériques, hôpital universitaire, Inselspital Berne, université de Berne, Freiburgstrasse, 3010 Berne, Suisse. Electronic address: franck.leclere@inserm.fr.
authors.forename: F M P
authors.initials: FM
authors.lastname: Leclère
authors.affiliation: Service de chirurgie plastique, chirurgie de la main et des nerfs périphériques, hôpital universitaire, Inselspital Berne, université de Berne, Freiburgstrasse, 3010 Berne, Suisse.
authors.forename: D
authors.initials: D
authors.lastname: Bignion
authors.affiliation: Service de chirurgie plastique, chirurgie de la main et des nerfs périphériques, hôpital universitaire, Inselspital Berne, université de Berne, Freiburgstrasse, 3010 Berne, Suisse.
authors.forename: T
authors.initials: T
authors.lastname: Franz
authors.affiliation: Service de chirurgie plastique, chirurgie de la main et des nerfs périphériques, hôpital universitaire, Inselspital Berne, université de Berne, Freiburgstrasse, 3010 Berne, Suisse.
authors.forename: L
authors.initials: L
authors.lastname: Mathys
authors.affiliation: Service de chirurgie plastique, chirurgie de la main et des nerfs périphériques, hôpital universitaire, Inselspital Berne, université de Berne, Freiburgstrasse, 3010 Berne, Suisse.
authors.forename: E
authors.initials: E
authors.lastname: Vögelin
mesh_terms: D019299:Decompression, Surgical / Q000379:methods*; D004724:Endoscopy / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D020423:Median Neuropathy / Q000601:surgery*; D009408:Nerve Compression Syndromes / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome
keywords: Compression nerveuse; Constrictions nerveuses; Endoscopie; Endoscopy; Hourglass-like constrictions; Kiloh-Nevin syndrome; Nerve compression; Nerve constriction; Pronator teres syndrome; Syndrome de Kiloh-Nevin; Syndrome pronateur