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Related Experiment Video

Updated: May 2, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome

Metacarpal Small Incision for Carpal Tunnel Syndrome

Published on: April 5, 2024

Carpal tunnel syndrome.

¹Service de chirurgie de la main et du membre supérieur, chirurgie des nerfs périphériques, hôpital Lapeyronie, CHU de Montpellier, avenue Doyen-Gaston-Giraud, 34295 Montpellier cedex 5, France.

Chirurgie De La Main

|March 21, 2014

Summary

Carpal tunnel syndrome, a common nerve entrapment, often requires medical or surgical intervention. While surgery offers satisfactory results in 90% of cases, recovery time varies with technique and patient factors.

Keywords:

Carpal tunnel syndrome Chirurgie Compression du nerf médian Endoscopie Endoscopy Median nerve compression Surgery Syndrome du canal carpien

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Area of Science:

Neurology
Orthopedics
Hand Surgery

Background:

Carpal tunnel syndrome is the most frequent entrapment neuropathy.
It results from median nerve compression and traction at the wrist, often with an idiopathic cause.
The condition typically shows slow progression, though spontaneous resolution is possible.

Purpose of the Study:

To review the diagnosis, medical, and surgical management of carpal tunnel syndrome.
To compare outcomes of different surgical techniques, including mini-invasive approaches.
To discuss factors influencing nerve recovery and patient outcomes.

Main Methods:

Clinical diagnosis based on symptoms and provocative tests.
Electromyography recommended for preoperative assessment and work-related cases.
Review of medical treatments (steroid injection, splinting) and surgical options (flexor retinaculum section).

Main Results:

Medical treatment is indicated for early or non-deficit cases; surgical treatment for resistant, deficit, or acute cases.
Mini-invasive techniques offer shorter recovery but similar long-term results to classical surgery.
Overall, 90% of surgical cases report satisfactory results, with nerve recovery dependent on severity and patient factors.

Conclusions:

Carpal tunnel release surgery has a high success rate and a benign reputation.
Nerve recovery and functional return are generally favorable, with potential complications rates between 0.2-0.5%.