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Updated: Aug 20, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
Carpal tunnel release: using a short vertical incision above the flexor crease of the wrist
Avni Dayican1, Vuslat Sema Unal, Suleyman Portakal
1Clinics of Orthopedics and Traumatology, Ankara Numune Education and Research Hospital, Cankaya/Ankara, Turkey. avnidayican@yahoo.com
Background:
Numerous surgical incision techniques have been used to treat carpal tunnel syndrome. The advantages and disadvantages of each are a matter of debate. However, the technique should be cost effective and also decrease the amount of time needed before the patient can return to work. A minimally invasive surgical procedure for the treatment of carpal tunnel syndrome is described in this report.
Methods:
Ninety-six patients with carpal tunnel syndrome (106 wrists) were operated on through a 2 cm vertical incision, above the flexor crease of the wrist, under local infiltration anesthesia, without tourniquet control. The mean time length of the operation was nine minutes.
Results:
Numbness and night pain disappeared in all cases postoperatively. The mean time period to return to work and full activity was 18 (12-26) days.
Conclusion:
Decreasing the time needed before the patient can return to work, minimizing the rate of complications and reducing hospital costs are advantages of this technique.
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