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Updated: Dec 19, 2025

Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
Endoscopic Carpal Tunnel Release: Indications, Technique, and Outcomes
Efstathios Karamanos1, Bao-Quynh Jillian1, David Person2
1Division of Plastic and Reconstructive Surgery, Department of Surgery, UT Health San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA.
Carpal tunnel release surgery is often necessary when nonoperative treatments fail. This article details a specific single-incision, antegrade endoscopic carpal tunnel release technique for effective surgical decompression.
Area of Science:
- Orthopedic Surgery
- Neurology
- Minimally Invasive Procedures
Background:
- Carpal tunnel syndrome (CTS) is the most prevalent peripheral compressive neuropathy.
- Nonoperative management offers temporary symptom relief but often necessitates surgical intervention.
- Various surgical approaches exist, from open release to endoscopic methods.
Purpose of the Study:
- To describe the technical considerations for a specific endoscopic carpal tunnel release technique.
- To detail the single-incision, antegrade approach using the SEGWay system.
Main Methods:
- Endoscopic carpal tunnel release.
- Single-incision, antegrade approach.
- Utilizing the SEGWay system and technique.
Main Results:
- The article focuses on the technical aspects of the procedure.
- Provides a guide for performing endoscopic carpal tunnel release with the SEGWay system.
Conclusions:
- The single-incision, antegrade endoscopic approach offers a viable surgical option for carpal tunnel release.
- Detailed technical understanding is crucial for successful implementation of the SEGWay system technique.
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