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Updated: Jun 27, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
04:08

Metacarpal Small Incision for Carpal Tunnel Syndrome

Published on: April 5, 2024

[Comparison between two mini incision techniques utilized in carpal tunnel release].

Emin Bal1, Ahmet Pişkin, Sait Ada

  • 1Hand Microsurgery and Orthopedics Traumatology Hospital, Izmir, Turkey. eminbal70@hotmail.com

Acta Orthopaedica Et Traumatologica Turcica
|December 9, 2008
PubMed
Summary

Comparing carpal tunnel release techniques, a distal mini incision near the transverse carpal ligament offers less scar-related issues and faster hand function recovery than a proximal incision.

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Minimally Invasive Procedures

Background:

  • Carpal tunnel syndrome (CTS) is a common condition causing hand pain and numbness.
  • Surgical release of the transverse carpal ligament is a primary treatment for CTS.
  • Minimally invasive techniques aim to reduce surgical morbidity and improve recovery.

Purpose of the Study:

  • To compare two mini skin incision techniques for carpal tunnel release.
  • To evaluate patient outcomes based on incision location relative to the transverse carpal ligament.

Main Methods:

  • A comparative study of 27 patients undergoing carpal tunnel release.
  • Group 1: Mini incision over the transverse carpal ligament (17 hands).
  • Group 2: Mini incision on the distal side of the transverse carpal ligament (17 hands).

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  • Outcomes assessed included symptom relief, scar characteristics, return to hand use, and strength.

    • Main Results:

    • Both techniques showed high rates of symptom resolution (82.4% vs 88.2%).
    • The distal incision group experienced significantly less scar rigidity and sensitivity (11.8% vs 52.9%).
    • Patients with distal incisions returned to basic daily activities (9 days vs 18 days) and normal function (21 days vs 35 days) significantly faster.
    • No significant differences were observed in grip and pinch strength recovery between groups.

    Conclusions:

    • Both mini incision techniques for carpal tunnel release provide satisfactory mid- and long-term results.
    • The mini skin incision on the distal side of the transverse carpal ligament is associated with reduced incision-related morbidity.
    • Distal mini incisions facilitate quicker functional recovery and less scar tissue issues.