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Updated: Feb 10, 2026
04:08
Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
1.5K
Our Surgical Experience: Open Versus Endoscopic Carpal Tunnel Surgery
Daniel Gould1, David Kulber2, Stuart Kuschner3
1Division of Plastic and Reconstructive Surgery, University of Southern California, Los Angeles, CA.
The Journal of Hand Surgery
|May 16, 2018
Summary
Carpal tunnel release surgery compares endoscopic and open methods. Based on anatomical findings and surgeon experience, open carpal tunnel release is favored for patient treatment.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Anatomy
Background:
- Carpal tunnel release is a common surgical procedure in the United States.
- Approximately 500,000 patients undergo surgical release annually.
- The debate between endoscopic and open carpal tunnel release continues.
Purpose of the Study:
- To compare endoscopic carpal tunnel release with open carpal tunnel release.
- To review literature on anatomical variants of the median nerve at the wrist.
- To present surgeon experiences and advocate for a preferred surgical approach.
Main Methods:
- Review of current literature on carpal tunnel release techniques.
- Examination of anatomical variations of the median nerve.
- Analysis of clinical experience from surgeons in a large academic practice.
Main Results:
- Key anatomical findings relevant to carpal tunnel surgery were identified.
- Several clinical cases were presented to illustrate surgical considerations.
- Surgeon experiences suggest a preference for open carpal tunnel release.
Conclusions:
- Open carpal tunnel release is favored based on anatomical insights and practical experience.
- The study aims to guide surgeons in offering the most suitable carpal tunnel release method to patients.
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