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A New Technique of Single Portal Endoscopic Carpal Tunnel Release

Ip, Wing-Yuk Josephine MBBS(HK), MS(HK), FRCOS (HK)*; Sweed, MCH(Ortho), Tamer Ahmed; Fung, Kwok Keung Boris FRCS, FRCSEd (Ortho), FHKAM (Ortho), FHKCOS FRCS, FRCSEd (Ortho), FHKAM (Ortho), FHKCOS*; Tipoe, George L. BA, MD, PhD; Shing Pun, Tze MBBS(Hong Kong), FRCS Edin (Ortho), FHKCOS, FHKAM (Orthopaedic Surgery)§

Techniques in Hand & Upper Extremity Surgery: March 2012 - Volume 16 - Issue 1 - p 27–29
doi: 10.1097/BTH.0b013e318230db42
Techniques

Since the first description of endoscopic carpal tunnel release (ECTR) in 1987 by Okutsu many endoscopic techniques have been developed, but the majority of the literature on ECTR has dealt with the Chow and Agee techniques. ECTR is indicated for carpal tunnel syndrome that is not responding to conservative treatment for 6 months. This new technique of ECTR is a single-portal technique using instruments originally designed for endoscopic cubital tunnel release, with no disposable instruments used. It also has the advantage of performing the release with the median nerve protected under direct vision. Ten cases were operated with this technique after performing the procedure on 8 hands of 4 fresh frozen cadavers. There were no neurovascular or tendon injuries with this technique and patients were satisfied with the results.

*Division of Hand and Foot Surgery, Queen Mary Hospital, Hong Kong University, Pokfulam, Hong Kong SAR

Department of Orthopaedics and Traumatology, Alexandria University, Egypt

Department of Anatomy, Faculty of Medicine

§Queen Mary Hospital, Hong Kong University

This work was conducted in the Hand Division, in the Orthopedic Department, Queen Mary Hospital, Hong Kong University, 102 Pokfulam Road, Pokfulam, Hong Kong SAR.

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of Funding.

Address correspondence and reprint requests to Wing-Yuk Josephine Ip, MBBS(HK), MS(HK), FRCOS(HK), Division of Hand and Foot Surgery, Queen Mary Hospital, Hong Kong University, 102 Pokfulam Road, Pokfulam, Hong Kong SAR. E-mail: wyip@hkucc.hku.hk.

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Copyright © 2012 Wolters Kluwer Health, Inc. All rights reserved