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Related Experiment Video

Updated: Jul 19, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
04:08

Metacarpal Small Incision for Carpal Tunnel Syndrome

Published on: April 5, 2024

Endoscopic carpal tunnel release in the elderly.

M Nagaoka1, S Nagao, H Matsuzaki

  • 1Orthopaedic Department, Surugadai Nihon University Hospital, Tokyo, Japan. mnagaoka@mub.biglobe.ne.jp

Minimally Invasive Neurosurgery : MIN
|October 17, 2006
PubMed
Summary

Endoscopic carpal tunnel release effectively resolves pain in elderly patients with carpal tunnel syndrome. While numbness may persist, the procedure improves thenar muscle atrophy, making it a viable option for seniors.

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Area of Science:

  • Orthopedics
  • Geriatric Medicine
  • Surgical Innovation

Background:

  • Carpal tunnel syndrome (CTS) is a common condition affecting the median nerve at the wrist.
  • Elderly patients present unique considerations for surgical interventions due to potential comorbidities and physiological changes.

Purpose of the Study:

  • To evaluate the postoperative outcomes of endoscopic carpal tunnel release in patients aged 70 years and older.
  • To assess the efficacy of this minimally invasive procedure in managing CTS symptoms and physical impairments in the elderly population.

Main Methods:

  • A cohort of 27 elderly patients (37 hands) diagnosed with CTS underwent endoscopic carpal tunnel release.
  • Patients were followed up for an average of 35.5 months, with assessments of pain, numbness, and thenar muscle atrophy.

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Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies
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Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies

Published on: January 11, 2019

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Last Updated: Jul 19, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
04:08

Metacarpal Small Incision for Carpal Tunnel Syndrome

Published on: April 5, 2024

Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies
06:40

Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies

Published on: January 11, 2019

Main Results:

  • Postoperative pain resolved in all cases.
  • Complete resolution of numbness occurred in 35.1% of hands; partial improvement was noted in others.
  • Significant improvement in thenar muscle atrophy was observed, although moderate to severe atrophy persisted in 21.6% of cases.

Conclusions:

  • Endoscopic carpal tunnel release is a safe and effective option for managing carpal tunnel syndrome in elderly patients.
  • The procedure demonstrates benefits in pain relief and improvement of muscle atrophy, even in advanced age, though symptom resolution may vary.