Kosin Med J.  2013 Jun;28(1):13-18. 10.7180/kmj.2013.28.1.13.

The Efficacy of Carpal Tunnel Release with Mini-Open Incision

• Kwon YH
• Kwak JM

• KMID: 2308506
• DOI: http://doi.org/10.7180/kmj.2013.28.1.13

Abstract

OBJECTIVES
We evaluated the effects of carpal tunnel release with a mini-open incision by analyzing symptom improvement.
METHODS
We retrospectively reviewed 64 carpal tunnel syndrome patients who underwent carpal tunnel release with mini-open incisions between January 2001 and December 2010. The 22 males and 42 females had a mean age of 49 years and a mean follow-up of 12 months. We analyzed postoperative symptoms using The Michigan Hand Outcome Questionnaire.
RESULTS
Patients reported complete resolution of their symptoms, and some patients who had presented with residual symptoms improved gradually. No complications or scar hypersensitivity were observed. MHQ(Michigan Hand outcomes Questionnaire) scores improved significantly between preoperative and postoperative 6 months and 12 months.
CONCLUSIONS
Carpal tunnel release with mini-open incision provides a clinically effective, reliable and safe procedure.

Keyword

Carpal tunnel release; Carpal tunnel syndrome; Mini-open Incision

MeSH Terms

Carpal Tunnel Syndrome
Cicatrix
Female
Follow-Up Studies
Hand
Humans
Hypersensitivity
Male
Michigan
Retrospective Studies

Figure

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  Fig. 1. A 1.5 cm longitudinal incision was made on the thenar crease.

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  Fig. 2. The transverse carpal ligament was identified.

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  Fig. 3. The proximal and distal release in the carpal tunnel was extended.

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