Minimally invasive carpal tunnel release: A clinical case study and surgical technique

Ann Med Surg (Lond). 2022 Nov 17:84:104950. doi: 10.1016/j.amsu.2022.104950. eCollection 2022 Dec.

Abstract

Introduction and importance: Carpal tunnel syndrome (CTS) is the most prevalent type of median nerve entrapment neuropathy. CTR surgery with a single limited incision is becoming more widely accepted. A better recovery, less pillar pain, less scarring, and an earlier return to work are the key benefits of single limited incision. This study provides an inquiry report on the surgical method, surgical advice, and outcomes of single limited incision minimally invasive carpal tunnel release for CTS.

Case presentation: A 60-year-old female developed carpal tunnel syndrome (CTS). Patient received minimally invasive carpal tunnel release using single limited incision following the failure non operative treatment and the patient was able to return to work with excellent 1-year outcomes. The patient was extremely satisfied with this operative technique.

Clinical discussion: This case highlights a successful outcome of a minimal invasive surgery in CTS. Visual efficiency during surgery and full transverse carpal ligament release are both improved with this technique which requires only a single limited incision. The transverse carpal ligament is totally released with this approach. During the operation, median nerves and superficial palmar arches are not injured.

Conclusion: This technique has been shown to be effective and safe for minimal invasive surgery. This technique could be of interest to surgeons performing minimal invasive surgery who treat CTS.

Keywords: Carpal tunnel release; Carpal tunnel syndrome; Minimally invasive carpal tunnel release; Single limited incision; Surgical technique.

Publication types

  • Case Reports