ENDOSCOPIC CARPAL TUNNEL RELEASE: AGEE SINGLE PORTAL TECHNIQUE.

Ahn, Sung Bong; Lim, Sung Ryul; Jung, Sung Gyun; Kim, Chang Hyun

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 1997;24(3):598-607.
Published online May 1, 1997.

ENDOSCOPIC CARPAL TUNNEL RELEASE: AGEE SINGLE PORTAL TECHNIQUE.

Sung Bong Ahn, Sung Ryul Lim, Sung Gyun Jung, Chang Hyun Kim

Abstract

For many years the standard surgical treatment for carpal tunnel syndrome has been division of the transverse carpal ligament under direct vision through a palm incision. Although the effectiveness and Patient acceptability of the conventional open carpal tunnel release are good, disability from a painful palm cutaneous neuroma, and prolonged swelling are reported Endoscopic carpal tunnel release seems to result in less postoperative morbidity, and minimal serious complications. Because endoscopic carpal tunnel release leaves the overlying skin, the subcutaneous fat and the palmer fascia and its attachments to the thenar and hypothenar musculature intact its proponents maintain that their patient have less scar tenderness, quicker recovery of grip strength, and earlier to return activities of daily living and work The endoscopic approach(Agee single portal technique), which includes specific localization of the hook of hamate, flexor retinaculum and the superficial palmar arch utilizing topographical landmarks, avoids entry into Guyon's canal and common digital nerves. We experienced four cases of carpal tunnel syndrome. In four cases, patients with carpal tunnel syndrome have been performed endoscopic carpal tunnel release with minor complication.