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. 2021 May 18;12(5):320–328. doi: 10.5312/wjo.v12.i5.320

Table 2.

Surgical technique used for endoscopic fasciotomy of the forearm for chronic exertional compartment syndrome

Ref. Sample size Surgical technique
Special tools
Incisions
Other surgical notes
Abe and Fujii[10], 2017 1 (unilateral) 2.3 mm endoscope with 30° angle 1 cm single incision, 2 cm proximal to the point of tenderness Release of brachioradialis fascia (case involved mobile wad only)
Hijjawi and Nagle[14], 2010 1 (unilateral) 4.5 mm 30° endoscope and probe blade from Chow dual-port endoscopic carpal tunnel set 2 incision: 2 cm transverseincision was made at the junction of the middle and distal thirds of the forearm in line with the flexor-pronator muscles; another 2 cm incision made 4 cm distal to the elbow crease --
Jans et al[11], 2015 154 (all bilateral) The single-use Vasoview 7 Endoscopic Vessel Harvesting System (Maquet–Getinge Group, Rastatt, Germany) Single 3 cm volar incision between flexor carpi radialis tendon and palmaris longus tendon made 4 cm proximal to the wrist Decompression of the superficial flexor compartment done up to 3 cm distal to cubital fold
Miller et al[17], 2017 2 (1 bilateral) EndoRelease (Integra LifeSciences Corporation,Plainsboro, New Jersey) system Single incision over the subcutaneous border of the ulna midway between olecranon and ulnar styloid --
Pegoli et al[15], 2016 3 (1 bilateral) STORZ endoscopy set Single 2 cm volar incision: Line drawn between medial epicondyle to wrist flexion crease ulnar to palmaris longus tendon, then divided into 4 parts. Incision is made between first and second quarters proximally Fasciotomy between flexor carpi radialis/palmaris longus tendons laterally and flexor carpi ulnaris medially
Ruyer et al[16], 2020 21 (15 bilateral) SmartRelease® (previously Agee®) endoscopic system (Micro- Aire Surgical Instruments, VA, United States) Incision based on the involved compartments: Line drawn between medial epicondyle to middle of wrist flexion crease anteriorly, and between lateral epicondyle and Lister’s tubercle posteriorly. 2 or 3 small incisions are made along the lines to fit the 6 cm long endoscopic knife --
Seiler et al[18], 2011 1 (bilateral) 0° endoscope and electrocautery forceps 3 incisions: dorsal incision just proximal to extensor retinaculum along a line between lateral epicondyle and Lister’s tubercle; volar incision made along a line between palmaris longus tendon and biceps tendon, proximal incision made 1 cm distal to the midline of the antecubital fossa, and distal incision at the wrist crease just ulnar to palmaris longus tendon --