chapter  38
6 Pages

Minimally Invasive Carpal Tunnel Release Using the Security Clipe

Carpal tunnel syndrome (CTS) results from irritation of the

median nerve at the level of the wrist (1). Any process that

increases the contents of the carpal canal can lead to higher

interstitial pressure and compression of the median nerve (2,3).

Treatments are designed to increase the space available for

the nerve. First line treatment includes splinting the wrist in

a neutral position. Kuo, utilizing ultrasound studies, demon-

strated that positioning the wrist in neutral lowers compression

of the median nerve (4). Additional non-surgical treatment

options include steroid injection, activity modifications,

tendon gliding exercises and the administration of anti-inflam-

matary medications (5).