AI Article Synopsis
- Pillar pain is a common complication from traditional open carpal tunnel release surgery, causing more discomfort than the initial condition.
- A new treatment involves a mini-incision technique that safely cuts the transverse carpal ligament and releases the median nerve without neurovascular complications.
- Over the past decade, this method has been performed on 318 patients with primary carpal tunnel syndrome, achieving successful results without neurovascular or tendon injuries, or pillar pain.
Article Abstract
Pillar pain represents one of the most common complications of classic open carpal tunnel release (CTR). This complication causes a sense of discomfort worse than the compression syndrome itself. We, herein, introduce a new treatment method for CTR through a mini-incision, which allows subcutaneously cutting the transverse carpal ligament (TCL) and releasing the median nerve without neurovascular complications. This mini-incision approach can allow the direct visualization and preservation of the thenar motor branch in those rare cases where it has an aberrant origin. For the past 10 years, we have consecutively performed this technique in the surgical treatment of 318 patients with the diagnosis of primary CTS, without developing any neurovascular and tendon injuries as well as pillar pain.
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Source |
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7932731 | PMC |
| http://dx.doi.org/10.5152/j.aott.2021.20086 | DOI Listing |
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