Carpal Tunnel Release
Presented by Dr. Pankaj Jindal · MS (Orthopaedics); Hand Surgery Fellowships (France, Michigan, Louisville)
Carpal Tunnel Release
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Sign in to watchCreate a free accountA 60-year-old woman presented with hand paresthesia, thenar and abductor pollicis brevis wasting, and positive Tinel and Phalen tests, consistent with advanced carpal tunnel syndrome. Concomitant findings included a symptomatic trigger thumb and a painful cystic swelling over the volar ring-finger MCP joint, clinically suspected to arise from the joint or flexor tendon sheath.
Discussion
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Successful open decompression depends less on incision length than on anatomically safe exposure, protection of neural structures, complete proximal and distal release, and intraoperative confirmation of unrestricted nerve and tendon excursion.
Key takeaway
Successful open decompression depends less on incision length than on anatomically safe exposure, protection of neural structures, complete proximal and distal release, and intraoperative confirmation of unrestricted nerve and tendon excursion.