Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2014 Sep;6(3):253-7.
doi: 10.4055/cios.2014.6.3.253. Epub 2014 Aug 5.

Current approaches for carpal tunnel syndrome

Poong-Taek Kim  1 , Hyun-Joo Lee  1 , Tae-Gong Kim  2 , In-Ho Jeon  3
Affiliations
Review

Current approaches for carpal tunnel syndrome

Poong-Taek Kim et al. Clin Orthop Surg. 2014 Sep.

Abstract

With advancement in biomechanical and biological research on idiopathic carpal tunnel syndrome, the insight on the pathophysiology of carpal tunnel syndrome has gained much clinical relevance. Open carpal tunnel release is still a gold standard procedure for carpal tunnel syndrome, which has evolved into mini-open procedure with development of new devices. Endoscopic carpal tunnel release has become popular in recent practice of hand surgery with an advantage of early recovery of hand function with minimal morbidity. However, endoscopic carpal tunnel release has its own limitation such as long learning curve with obvious surgical risk reported in the literature. In this review article, various treatment protocols for idiopathic carpal tunnel syndrome are presented with special highlight on endoscopic carpal tunnel release, which is gaining popularity in current practice.

Keywords: Carpal tunnel syndrome; Endoscopic; Open; Release.

PubMed Disclaimer

Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Introducing the cannula to the exit portal. HH: hook of hamate, KL: Kaplan line, TCL: transverse carpal ligament.
Fig. 2
Fig. 2
Undersurface of transverse carpal ligament with washboard appearance.
Fig. 3
Fig. 3
Triangular blade cutting the middle of the transverse carpal ligament in retrograde fashion.
Fig. 4
Fig. 4
Transection of the transverse carpal ligament by using a retrograde knife.
See this image and copyright information in PMC

References

    1. Atroshi I, Gummesson C, Johnsson R, Ornstein E, Ranstam J, Rosen I. Prevalence of carpal tunnel syndrome in a general population. JAMA. 1999;282(2):153–158. - PubMed
    1. Piazzini DB, Aprile I, Ferrara PE, et al. A systematic review of conservative treatment of carpal tunnel syndrome. Clin Rehabil. 2007;21(4):299–314. - PubMed
    1. Walker WC, Metzler M, Cifu DX, Swartz Z. Neutral wrist splinting in carpal tunnel syndrome: a comparison of night-only versus full-time wear instructions. Arch Phys Med Rehabil. 2000;81(4):424–429. - PubMed
    1. Scutt N, Rolf CG, Scutt A. Glucocorticoids inhibit tenocyte proliferation and Tendon progenitor cell recruitment. J Orthop Res. 2006;24(2):173–182. - PubMed
    1. Cassuto J, Sinclair R, Bonderovic M. Anti-inflammatory properties of local anesthetics and their present and potential clinical implications. Acta Anaesthesiol Scand. 2006;50(3):265–282. - PubMed