Carpal Tunnel Release: Technical Considerations for the Orthopaedic Trauma Surgeon

Emergent carpal tunnel release is indicated for acute carpal tunnel syndrome, most commonly secondary to distal radius fracture and may be performed in the setting of forearm/hand compartment syndrome along with forearm and/or hand fasciotomies if median nerve compression is suspected. Carpal tunnel release can safely and efficiently be performed concurrent to fracture fixation and/or compartment release, generally with excellent results. This abstract is intended to serve as a succinct review for orthopaedic traumatologists who do not routinely perform carpal tunnel release on an elective basis, describing the relevant anatomy, structures at risk, and an incision design required to successfully perform open carpal tunnel release.