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Endoscopic Carpal Tunnel Release

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Carpal Tunnel Syndrome and Related Median Neuropathies

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Abstract

While open carpal tunnel release provides excellent relief of median nerve compression, many patients complain of tenderness at the proximal palm incision for months after surgery. For over 25 years, endoscopic techniques have been available that move the incision off of the proximal palm to avoid or decrease this pillar pain. Proximal, distal, and two-portal techniques are reported, with varying learning curves associated with them. Multicenter trials have demonstrated safety of the procedure and improved patient experience with decreased postoperative pain and more rapid return to work. Endoscopic carpal tunnel release may be particularly appropriate for surgeons with a high volume of carpal tunnel syndrome in their practice and patients seeking to minimize their downtime after surgery.

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Authors and Affiliations

  1. Plastic Surgery, Johns Hopkins Bayview Medical Center, 4940 Eastern Ave, Rm A518, Baltimore, MD, 21224, USA

    Scott D. Lifchez

  2. Plastic and Reconstructive Surgery, Johns Hopkins Hospital, 4940 Eastern Ave, Rm A518, Baltimore, MD, 21224, USA

    Joseph Lopez

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  1. Scott D. Lifchez
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Correspondence to Scott D. Lifchez .

Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Boston University/Boston Medical Center, Boston, Massachusetts, USA

    Scott F. M. Duncan

  2. Department of Orthopaedic Surgery, Kindai University Hospital, Osaka, Japan

    Ryosuke Kakinoki

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Lifchez, S.D., Lopez, J. (2017). Endoscopic Carpal Tunnel Release. In: Duncan, S., Kakinoki, R. (eds) Carpal Tunnel Syndrome and Related Median Neuropathies. Springer, Cham. https://doi.org/10.1007/978-3-319-57010-5_13

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  • DOI: https://doi.org/10.1007/978-3-319-57010-5_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-57008-2

  • Online ISBN: 978-3-319-57010-5

  • eBook Packages: MedicineMedicine (R0)

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