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In this publication we describe three techniques for endoscopic carpal tunnel release which use the palmar portal approach and the superficial plane to enable a view from above the transverse carpal ligament. These techniques prevent any iatrogenic compression of the median nerve inside the already narrow tunnel. Although the necessary instruments are inexpensive and recommended in instrumentation catalogues, their use has rarely been reported. These techniques are safe and easy to learn for surgeons familiar with arthroscopy. We believe that they constitute an important alternative to the already well-established methods of interior tunnel access, and believe that their use should become more widespread.

作者:Bart?omiej H, Noszczyk;Natalia, Krzesniak;Marcin, Nowak

来源:Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques 2014 年 9卷 2期

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作者:
Bart?omiej H, Noszczyk;Natalia, Krzesniak;Marcin, Nowak
来源:
Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques 2014 年 9卷 2期
标签:
carpal tunnel release carpal tunnel syndrome endoscope guide endoscopic retractor endoscopic techniques
In this publication we describe three techniques for endoscopic carpal tunnel release which use the palmar portal approach and the superficial plane to enable a view from above the transverse carpal ligament. These techniques prevent any iatrogenic compression of the median nerve inside the already narrow tunnel. Although the necessary instruments are inexpensive and recommended in instrumentation catalogues, their use has rarely been reported. These techniques are safe and easy to learn for surgeons familiar with arthroscopy. We believe that they constitute an important alternative to the already well-established methods of interior tunnel access, and believe that their use should become more widespread.