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| Volume 71 Number 6 November 2004 |
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| Carpal Tunnel Release: Using a Short Vertical Incision Above the Flexor Crease of the Wrist | 401-404 |
Avni Dayican, M.D.1, Vuslat Sema Unal, M.D.1, Suleyman Portakal, M.D.1, Ali Utkan, M.D.1, and Mehmet Ali Tumoz, M.D.2 |
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From the 1Clinics of Orthopedics and Traumatology and 2Chief of Clinics of Orthopedics and Traumatology, Ankara Numune Education and Research Hospital, Cankaya / Ankara, Turkey.
Address all correspondence to Avni Dayican, M.D., Kirkkonaklar Mah. 22. Cadde No: 20/7, 06610 Cankaya / Ankara, Turkey; e-mail: avnidayican@yahoo.com
Accepted for publication May 2004.
Background: Numerous surgical incision techniques have been used to treat carpal tunnel syndrome. The advantages and disadvantages of each are a matter of debate. However, the technique should be cost effective and also decrease the amount of time needed before the patient can return to work. A minimally invasive surgical procedure for the treatment of carpal tunnel syndrome is described in this report.
Methods : Ninety-six patients with carpal tunnel syndrome (106 wrists) were operated on through a 2 cm vertical incision, above the flexor crease of the wrist, under local infiltration anesthesia, without tourniquet control. The mean time length of the operation was nine minutes.
Results: Numbness and night pain disappeared in all cases postoperatively. The mean time period to return to work and full activity was 18 (12–26) days.
Conclusion: Decreasing the time needed before the patient can return to work, minimizing the rate of complications and reducing hospital costs are advantages of this technique.
Carpal tunnel syndrome, carpal tunnel release, median nerve entrapment.
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