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Case Reports
. 2024 Dec;14(12):32-35.
doi: 10.13107/jocr.2024.v14.i12.5008.

Single-Stage Mini-Open Release for Bilateral Carpal Tunnel Syndrome - A Case Report

Ganesh Anantharamakrishnan  1 , Pradeep Elangovan  1 , Silambarasi Nagasamy  1 , Pooja Sunithi R  1 , Haemanath Pandian  1 , Sheik Mohideen  1
Affiliations
Case Reports

Single-Stage Mini-Open Release for Bilateral Carpal Tunnel Syndrome - A Case Report

Ganesh Anantharamakrishnan et al. J Orthop Case Rep. 2024 Dec.

Abstract

Introduction: Carpal tunnel syndrome (CTS) is the most common compressive neuropathy, often leading to significant impairment, especially in patients with bilateral involvement. When conservative trials fail, surgical options such as open, mini-open, and endoscopic carpal tunnel release are considered. This report highlights the use of single-stage bilateral mini-open carpal tunnel release, emphasizing its efficiency, reduced recovery time, and cost-effectiveness.

Case report: A 58-year-old female with hypothyroidism presented with a history of numbness and tingling in the thumb, index, and middle fingers of both hands. Despite conservative management, symptoms persisted. The patient opted for a single-stage bilateral mini-open carpal tunnel release to save time and costs. The patient resumed daily activities within 2 weeks, showing significant improvement in disabilities of the arm, shoulder, and hand and Boston CTS questionnaire scores.

Conclusion: The mini-open technique for single-stage bilateral carpal tunnel release is an effective and efficient option for managing bilateral CTS. It provides adequate exposure and meticulous decompression, offering the benefits of both open and endoscopic methods while minimizing their drawbacks. This approach significantly improves patient outcomes and satisfaction.

Keywords: Carpal tunnel syndrome; carpal tunnel release; median nerve; mini-open release.

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Conflict of interest statement

Conflict of Interest: Nil

Figures

Figure 1
Figure 1
Marking the incision line along the radial border of the fourth finger, indicated by the dashed line.
Figure 2
Figure 2
The flexor retinaculum visualized through the incision.
Figure 3
Figure 3
Clinical image taken at the 6-week follow-up, illustrating healed surgical scars on both wrists.
See this image and copyright information in PMC

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