Supraretinacular endoscopic carpal tunnel release: Surgical technique with prospective case series

J.O. Ecker, N. Perera, Jay Ebert

    Research output: Contribution to journalArticle

    2 Citations (Scopus)

    Abstract

    © The Author(s) 2014. Current techniques for endoscopic carpal tunnel release use an infraretinacular approach, inserting the endoscope deep to the flexor retinaculum. We present a supraretinacular endoscopic carpal tunnel release technique in which a dissecting endoscope is inserted superficial to the flexor retinaculum, which improves vision and the ability to dissect and manipulate the median nerve and tendons during surgery. The motor branch of the median nerve and connections between the median and ulnar nerve can be identified and dissected. Because the endoscope is inserted superficial to the flexor retinaculum, the median nerve is not compressed before division of the retinaculum and, as a result, we have observed no cases of the transient median nerve deficits that have been reported using infraretinacular endoscopic techniques.Level of evidence: IV.
    Original languageEnglish
    Pages (from-to)193-198
    JournalJournal of Hand Surgery: European Volume
    Volume40
    Issue number2
    DOIs
    Publication statusPublished - 2014

    Fingerprint

    Median Nerve
    Wrist
    Endoscopes
    Ulnar Nerve
    Aptitude
    Tendons

    Cite this

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    title = "Supraretinacular endoscopic carpal tunnel release: Surgical technique with prospective case series",
    abstract = "{\circledC} The Author(s) 2014. Current techniques for endoscopic carpal tunnel release use an infraretinacular approach, inserting the endoscope deep to the flexor retinaculum. We present a supraretinacular endoscopic carpal tunnel release technique in which a dissecting endoscope is inserted superficial to the flexor retinaculum, which improves vision and the ability to dissect and manipulate the median nerve and tendons during surgery. The motor branch of the median nerve and connections between the median and ulnar nerve can be identified and dissected. Because the endoscope is inserted superficial to the flexor retinaculum, the median nerve is not compressed before division of the retinaculum and, as a result, we have observed no cases of the transient median nerve deficits that have been reported using infraretinacular endoscopic techniques.Level of evidence: IV.",
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    Supraretinacular endoscopic carpal tunnel release: Surgical technique with prospective case series. / Ecker, J.O.; Perera, N.; Ebert, Jay.

    In: Journal of Hand Surgery: European Volume, Vol. 40, No. 2, 2014, p. 193-198.

    Research output: Contribution to journalArticle

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    AU - Ebert, Jay

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    AB - © The Author(s) 2014. Current techniques for endoscopic carpal tunnel release use an infraretinacular approach, inserting the endoscope deep to the flexor retinaculum. We present a supraretinacular endoscopic carpal tunnel release technique in which a dissecting endoscope is inserted superficial to the flexor retinaculum, which improves vision and the ability to dissect and manipulate the median nerve and tendons during surgery. The motor branch of the median nerve and connections between the median and ulnar nerve can be identified and dissected. Because the endoscope is inserted superficial to the flexor retinaculum, the median nerve is not compressed before division of the retinaculum and, as a result, we have observed no cases of the transient median nerve deficits that have been reported using infraretinacular endoscopic techniques.Level of evidence: IV.

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