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.