Surgery of the carpal tunnel
Noel Eboh, Donald H. Wilson
Abstract
Noel Eboh, Donald H. Wilson
Abstract
The authors describe a modified technique for surgery of the carpal tunnel. The primary cause of the carpal tunnel syndrome is the same as other entrapment neuropathies: an enlarged nerve within a tight tunnel. Electrical studies have shown that the area of compression is in the middle of the tunnel. Treatment is surgical: a palmar incision, which begins at the wrist medial to the palmaris longus, to avoid damage to the sensory branch of the median nerve; and selection of the retinaculum from the exit of the tunnel toward the entrance.
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The authors describe a modified technique for surgery of the carpal tunnel. The primary cause of the carpal tunnel syndrome is the same as other entrapment neuropathies: an enlarged nerve within a tight tunnel. Electrical studies have shown that the area of compression is in the middle of the tunnel. Treatment is surgical: a palmar incision, which begins at the wrist medial to the palmaris longus, to avoid damage to the sensory branch of the median nerve; and selection of the retinaculum from the exit of the tunnel toward the entrance.
Key concepts: Medicine, Retinaculum, Carpal tunnel syndrome, Carpal tunnel, Wrist, Median nerve, Carpal tunnel release, Entrapment Neuropathy