Endoscopic Carpal Tunnel Release: Indications, Technique, and Outcomes

Efstathios Karamanos; Bao-Quynh Jillian; David Person

doi:10.1016/j.ocl.2020.02.001

Endoscopic Carpal Tunnel Release: Indications, Technique, and Outcomes

Orthop Clin North Am. 2020 Jul;51(3):361-368. doi: 10.1016/j.ocl.2020.02.001.

Authors

Efstathios Karamanos¹, Bao-Quynh Jillian¹, David Person²

Affiliations

¹ Division of Plastic and Reconstructive Surgery, Department of Surgery, UT Health San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA.
² The Hand Center of San Antonio, 21 Spurs Lane # 310, San Antonio, TX 78240, USA. Electronic address: davidpersonmd@gmail.com.

PMID: 32498954
DOI: 10.1016/j.ocl.2020.02.001

Abstract

Carpal tunnel is the most common peripheral compressive neuropathy. Nonoperative management may provide temporary alleviation of symptoms, but in most cases surgical decompression is warranted. There are a multitude of approaches ranging from open release under general anesthesia to wide awake in-office endoscopic carpal tunnel release. The present article describes the technical considerations for the single incision, antegrade approach to endoscopic carpal tunnel release using the SEGWay system and technique.

Keywords: Carpal tunnel; Endoscopic release; Outcomes; Technique.

Publication types

Review

MeSH terms

Carpal Tunnel Syndrome / surgery*
Decompression, Surgical / adverse effects
Decompression, Surgical / methods*
Endoscopy / adverse effects
Endoscopy / methods*
Humans
Median Nerve / surgery*
Peripheral Nervous System Diseases / surgery*
Treatment Outcome