In endoscopic carpal tunnel release surgery, the
transverse carpal ligament is cut. This releases the median nerve.
Endoscopic surgery uses a thin tube with a camera attached (endoscope).
The endoscope is guided through a small incision in the wrist (single-portal
technique) or at the wrist and palm (two-portal technique). The endoscope lets
the doctor see structures in the wrist (such as the transverse carpal ligament)
without opening the entire area with a large incision.
tools used in endoscopic surgery are very tiny. They also are inserted through
the small incisions in the wrist or wrist and palm. In the single-portal
technique, one small tube contains both the camera and a cutting tool.
During endoscopic carpal tunnel release surgery, the transverse carpal
ligament is cut. This releases pressure on the median nerve. So the symptoms of carpal
tunnel syndrome are relieved.
October 2, 2012
Kathleen Romito, MD - Family Medicine & Herbert von Schroeder, MD, MSc, FRCSC - Hand and Microvascular Surgery
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