Endoscopic carpal tunnel release

Scott D. Lifchez; Joseph Lopez

doi:10.1007/978-3-319-57010-5_13

Endoscopic carpal tunnel release

Scott D. Lifchez, Joseph Lopez

School of Medicine

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

While open carpal tunnel release provides excellent relief of median nerve compression, many patients complain of tenderness at the proximal palm incision for months after surgery. For over 25 years, endoscopic techniques have been available that move the incision offof the proximal palm to avoid or decrease this pillar pain. Proximal, distal, and two-portal techniques are reported, with varying learning curves associated with them. Multicenter trials have demonstrated safety of the procedure and improved patient experience with decreased postoperative pain and more rapid return to work. Endoscopic carpal tunnel release may be particularly appropriate for surgeons with a high volume of carpal tunnel syndrome in their practice and patients seeking to minimize their downtime after surgery.

Original language	English (US)
Title of host publication	Carpal Tunnel Syndrome and Related Median Neuropathies
Subtitle of host publication	Challenges and Complications
Publisher	Springer International Publishing
Pages	139-147
Number of pages	9
ISBN (Electronic)	9783319570105
ISBN (Print)	9783319570082
DOIs	https://doi.org/10.1007/978-3-319-57010-5_13
State	Published - Jul 3 2017

Keywords

Arthroscopic carpal tunnel
Endoscopic carpal tunnel
Median neuropathy
Nerve compression

ASJC Scopus subject areas

Medicine(all)

Access to Document

10.1007/978-3-319-57010-5_13

Cite this

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N2 - While open carpal tunnel release provides excellent relief of median nerve compression, many patients complain of tenderness at the proximal palm incision for months after surgery. For over 25 years, endoscopic techniques have been available that move the incision offof the proximal palm to avoid or decrease this pillar pain. Proximal, distal, and two-portal techniques are reported, with varying learning curves associated with them. Multicenter trials have demonstrated safety of the procedure and improved patient experience with decreased postoperative pain and more rapid return to work. Endoscopic carpal tunnel release may be particularly appropriate for surgeons with a high volume of carpal tunnel syndrome in their practice and patients seeking to minimize their downtime after surgery.

AB - While open carpal tunnel release provides excellent relief of median nerve compression, many patients complain of tenderness at the proximal palm incision for months after surgery. For over 25 years, endoscopic techniques have been available that move the incision offof the proximal palm to avoid or decrease this pillar pain. Proximal, distal, and two-portal techniques are reported, with varying learning curves associated with them. Multicenter trials have demonstrated safety of the procedure and improved patient experience with decreased postoperative pain and more rapid return to work. Endoscopic carpal tunnel release may be particularly appropriate for surgeons with a high volume of carpal tunnel syndrome in their practice and patients seeking to minimize their downtime after surgery.

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Endoscopic carpal tunnel release

Abstract

Keywords

ASJC Scopus subject areas

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