Related Experiment Video
Updated: Apr 20, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
[Trapeziometacarpal arthroscopy]
1Klinik für Handchirurgie, Herz- und Gefäß-Klinik GmbH, Salzburger Leite 1, 97616, Bad Neustadt/Saale, Deutschland, Karl-Heinz.Kalb@handchirurgie.de.
Objective:
Trapeziometacarpal arthroscopy improves diagnostic and therapeutic options in pathologies of the carpometacarpal (CMC) I joint.
Indications:
Pathologic conditions of the CMC I joint which are not sufficiently diagnosed by X-rays or MRI.
Contraindications:
Pathologic conditions of the CMC I joint in which trapeziometacarpal arthroscopy is not expected to make a contribution to diagnosis or therapy.
Surgical Technique:
Trapeziometacarpal arthroscopy using a 1.9 mm arthroscope after instillation of physiological solution.
Postoperative Management:
Thumb cast sparing the interphalangeal joint for 1 week, then functional therapy.
Results:
Trapeziometacarpal arthroscopy improves diagnosis of CMC I pathologies and gives new therapeutic options, a field which is still rapidly expanding.

