Review Article
Volume 11 Issue 11 - 2020
Indications, Surgical Techniques and Safety of Open Versus Endoscopic Carpal Tunnel Release
Mala Thakur1*, Alessia Genova1, Olivia dix1, Asem Saefan1, Abdalwahab Kawaiah1 and Abbas Hassan2
1Xavier University School of Medicine, Aruba
2Department of Surgery, Division of Plastic and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
*Corresponding Author: Mala Thakur, Xavier University School of Medicine, Aruba.
Received: September 17, 2020; Published: October 29, 2020


Carpal tunnel syndrome (CTS) is the most prevalent focal neuropathy affecting the median nerve. The disorder arises when the median nerve in the wrist is compressed and this condition is more common in females than in males. The syndrome is characterized by pain in the hand, numbness and tingling in the distribution of the median nerve. These sensations may be felt in the thumb, index finger, middle finger and the radial side of the ring finger. The treatment of carpal tunnel syndrome (CTS) should be selected considering the stage of the disease, the severity of the symptoms, or patient's preference.

Non-surgical treatments include wrist splinting, change of working position, medications and use of alternative non-vibrating equipment at work. On the other hand, surgical methods include open release and endoscopic surgeries.

Surgery is a treatment for patients that have severe median nerve damage that includes permanent sensory and motor loss under electro-diagnostic studies.

The open carpal release is the most used form of curative therapy when decompressing the median nerve. ECTR is expected to have better outcomes in terms of pain, speed of healing and return to normal activities. Although injuries are rare during and after surgery, several complications related to the branches attached to the median nerve and ulnar artery could arise. Therefore, sufficient surgical techniques, as well as a comprehension of the wrist anatomy, are essential to ensure the carpal tunnel release surgery is safe.

Keywords: Carpal Tunnel Syndrome; CTS Syndrome; Diagnostic Tools; Clinical Features; Management; Carpal Tunnel Release


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Citation: Mala Thakur., et al. “Indications, Surgical Techniques and Safety of Open Versus Endoscopic Carpal Tunnel Release”. EC Orthopaedics 11.11 (2020): 08-14.

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