Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Endoscopic carpal tunnel decompression

M W Erdmann1

  • 1Department of Plastic and Reconstructive Surgery, Charing Cross Hospital, London.

Journal of Hand Surgery (Edinburgh, Scotland)
|February 1, 1994
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

A technical refinement for removal of a ganglion.

British journal of plastic surgery·2001
Same author

Dorsal chevron flap for exposure of the proximal interphalangeal joint.

Journal of hand surgery (Edinburgh, Scotland)·1998
Same author

A five year review of islanded distally based fasciocutaneous flaps on the lower limb.

British journal of plastic surgery·1997
Same author

The transpelvic rectus abdominis flap: its use in the reconstruction of extensive perineal defects.

Annals of the Royal College of Surgeons of England·1995
Same author

Digital flexor sheath injury: a new diagnostic test.

Annals of the Royal College of Surgeons of England·1995
Same author

Multidisciplinary approach to the management of head and neck arteriovenous malformations.

Annals of the Royal College of Surgeons of England·1995
Same journal

Dorsal (AO/ASIF) pi-plate osteosynthesis in the treatment of distal intraarticular radius fractures.

Journal of hand surgery (Edinburgh, Scotland)·2006
Same journal

Brachial plexus injury in snowboarding.

Journal of hand surgery (Edinburgh, Scotland)·2006
Same journal

Septic arthritis of the small joints of the hand.

Journal of hand surgery (Edinburgh, Scotland)·2006
Same journal

Problematic bone fixation with pyrocarbon implants in proximal interphalangeal joint replacement: short-term results.

Journal of hand surgery (Edinburgh, Scotland)·2006
Same journal

A leiomyoma arising from the deep palmar arterial arch.

Journal of hand surgery (Edinburgh, Scotland)·2006
Same journal

Local anaesthesia for carpal tunnel decompression: a comparison of two techniques.

Journal of hand surgery (Edinburgh, Scotland)·2006
See all related articles

Endoscopic carpal tunnel release offers faster recovery and improved strength compared to open surgery. This study found endoscopic methods significantly reduce return-to-work time with varying complication rates depending on technique.

Area of Science:

  • Orthopedics
  • Surgical Innovation
  • Hand Surgery

Background:

  • Carpal tunnel syndrome (CTS) is a common condition causing median nerve compression.
  • Open carpal tunnel release is the traditional surgical treatment.
  • Endoscopic techniques offer potential minimally invasive advantages.

Purpose of the Study:

  • To compare the efficacy and safety of endoscopic carpal tunnel release versus open release.
  • To evaluate functional outcomes and return to work after both procedures.

Main Methods:

  • The study included cadaveric dissections, a pilot study (20 patients), and a randomized trial (71 patients).
  • Patients underwent either endoscopic or open carpal tunnel decompression.
  • Simultaneous bilateral release was performed in some patients.

Related Experiment Videos

Main Results:

  • Both endoscopic and open techniques effectively decompressed the median nerve.
  • Endoscopic surgery led to significant improvements in grip and pinch strength over 3 months.
  • Average return to work was 14 days for endoscopic vs. 39 days for open release.
  • Complication rates varied: 35% (transbursal endoscopic), 3.7% (extrabursal endoscopic), and 13.5% (open).

Conclusions:

  • Endoscopic carpal tunnel release is a viable alternative to open surgery, offering faster return to work and improved functional strength.
  • The extrabursal endoscopic technique demonstrated a lower complication rate compared to transbursal endoscopic and open methods.