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Updated: Jul 24, 2026
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Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
Carpal tunnel release with a small palmar incision
W P Lee1, K D Plancher, J W Strickland
1Harvard Medical School, Boston, Massachusetts, USA.
Hand Clinics
|May 1, 1996
Summary
A novel carpal tunnel release technique using a small palmar incision effectively addresses transverse carpal ligament compression. Early clinical results suggest this minimally invasive approach offers a viable treatment option for carpal tunnel syndrome.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Minimally Invasive Procedures
Background:
- Carpal tunnel syndrome (CTS) is a common condition caused by median nerve compression.
- Transverse carpal ligament release is the primary surgical treatment for CTS.
- Traditional open release can involve larger incisions and longer recovery.
Purpose of the Study:
- To describe a novel surgical technique for carpal tunnel release using a small palmar incision.
- To review the initial clinical outcomes and feasibility of this minimally invasive approach.
Main Methods:
- A specific surgical technique, termed 'carpal tunnel tome', is detailed.
- The procedure involves a small palmar incision for transverse carpal ligament division.
- The technique is illustrated with comprehensive visual aids.
Main Results:
- The study presents the authors' early clinical experience with the described technique.
- Illustrations provide a step-by-step guide to the surgical procedure.
- Initial outcomes indicate the potential efficacy of this method.
Conclusions:
- The carpal tunnel tome technique offers a minimally invasive option for transverse carpal ligament release.
- Further clinical studies are warranted to fully evaluate long-term outcomes and patient satisfaction.
