Nuances in endoscopic carpal tunnel release a guide to improving outcomes.

J Hand Microsurg

Singapore General Hospital, Department of Hand & Reconstructive Microsurgery, Singapore.

Published: December 2024

Endoscopic technique of carpal tunnel release is widely accepted as successful and safe as long as the surgeon is well-trained. Compared to the traditional open technique, there exists a steep learning curve for familiarisation of equipment, training of hand-eye coordination and appreciating tactile feedback. The available literature and manuals do not illustrate the practical challenges encountered during the procedure. We describe a guide for single-portal technique under local anesthesia, including surgical planning, cautions, and troubleshooting processes based on our experience with 136 cases in Asian hands which is known to be smaller.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11632696PMC
http://dx.doi.org/10.1016/j.jham.2024.100150DOI Listing

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