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Metacarpal Small Incision for Carpal Tunnel Syndrome

Metacarpal Small Incision for Carpal Tunnel Syndrome

Published on: April 5, 2024

Endoscopic versus open carpal tunnel release: A short-term comparative study.

R Malhotra¹, E Krishna Kiran, Aman Dua

¹Department of Orthopedics, All India Institute of Medical Sciences, New Delhi, India.

Indian Journal of Orthopaedics

|December 3, 2010

Summary

Endoscopic carpal tunnel release (CTR) offers better short-term symptom relief and faster return to normal activities compared to open CTR. However, both surgical methods show comparable results at six months for carpal tunnel syndrome (CTS).

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Area of Science:

Orthopedic Surgery
Hand Surgery
Minimally Invasive Procedures

Background:

Idiopathic carpal tunnel syndrome (CTS) affects numerous individuals, often necessitating surgical intervention.
Open carpal tunnel release (CTR) has been the traditional surgical approach.
Endoscopic CTR presents a less invasive alternative, prompting comparative studies.

Purpose of the Study:

To prospectively compare the efficacy and outcomes of endoscopic CTR versus open CTR for idiopathic CTS.
To evaluate key parameters including symptom amelioration, functional recovery, complications, and revision rates.

Main Methods:

A prospective randomized study involving 71 patients with idiopathic CTS unresponsive to nonoperative management.
Patients were randomized to undergo either endoscopic CTR (30 wrists) or open CTR (31 wrists).

Keywords:

Carpal tunnel syndrome endoscopic carpal tunnel release

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Follow-up was conducted for six months, assessing various clinical and electro-diagnostic parameters.

Main Results:

Endoscopic CTR demonstrated superior short-term symptomatic and functional improvement.
Patients undergoing endoscopic CTR experienced significantly less local wound issues, such as scarring and scar tenderness.
A quicker return to normal daily activities was observed in the endoscopic CTR group.

Conclusions:

Endoscopic CTR provides advantageous short-term outcomes, particularly regarding scar-related discomfort.
At the six-month follow-up, both endoscopic and open CTR methods yielded comparable results in symptom relief and overall efficacy.
The choice between endoscopic and open CTR may depend on balancing short-term benefits with long-term equivalence.