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Endoscopic and Minimally Invasive Carpal Tunnel and Trigger Finger Release

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Minimally Invasive Surgery in Orthopedics

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Abstract

Carpal tunnel syndrome (CTS) is the most common peripheral entrapment neuropathy,1,2 with a lifetime incidence estimated at up to 10%.3 The pathophysiology of CTS is thought to be due to compression of the median nerve in the region of the carpal tunnel.4,5 When symptoms are recalcitrant to conservative management, surgical intervention is indicated. The goal of surgery is to decompress the median nerve in the carpal tunnel by transecting the deep transverse carpal ligament (TCL).

Surgical options include open or endoscopic division of the TCL. The gold standard of operative intervention has been the open carpal tunnel release (CTR), which was first popularized by Phalen et al.6,7 In the open technique, this division is typically carried out through a longitudinal palmar incision. Direct vision allows a safe division of the palmar fascia, following which, the TCL is identified and divided longitudinally, with care taken to protect the underlying median nerve.

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Authors and Affiliations

  1. Division of Hand Surgery, Department of Orthopaedic Surgery, The New York University Hospital for Joint Diseases, The New York University School of Medicine, Hand Surgery Service, Bellevue Hospital Center, New York, NY, USA

    Mordechai Vigler & Steve K. Lee

Authors
  1. Mordechai Vigler
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  2. Steve K. Lee
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Correspondence to Steve K. Lee .

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Editors and Affiliations

  1. Insall Scott Kelly Institute, East 64th St. 210, New York, 10021, U.S.A.

    Giles R. Scuderi

  2. Orthopaedic Center of New Jersey, Route 27 1527, Somerset, 08873, U.S.A.

    Alfred J. Tria

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Vigler, M., Lee, S.K. (2010). Endoscopic and Minimally Invasive Carpal Tunnel and Trigger Finger Release. In: Scuderi, G., Tria, A. (eds) Minimally Invasive Surgery in Orthopedics. Springer, New York, NY. https://doi.org/10.1007/978-0-387-76608-9_16

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  • DOI: https://doi.org/10.1007/978-0-387-76608-9_16

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