chapter  37
6 Pages

Limited Incision Carpal Tunnel Release with the Indiana Tome

Carpal tunnel syndrome (CTS) is a well-known compression

neuropathy of the median nerve at the level of the wrist. Several

surgical techniques have been described for the treatment of

this disorder. These techniques began with the now traditional

open incision procedure for release of the transverse carpal

ligament (TCL) and have included varying degrees of flexor

retinaculum and distal volar forearm fascia release. Recent

years have seen an overall change in patient and surgeon

perspective as to what defines an optimal surgical procedure.

These changing expectations have led to the development of

several “minimally invasive” methods in all surgical fields. The

approach to carpal tunnel release has been no less affected by

this shift in the general surgical paradigm.