Carpal tunnel release: Using a short vertical incision above the flexor crease of the wrist

Background. Numerous surgical incision techniques have been used to treat carpal tunnel syndrome. The advantages and disadvantages of each are a matter of debate. However, the technique should be cost effective and also decrease the amount of time needed before the patient can return to work. A minimally invasive surgical procedure for the treatment of carpal tunnel syndrome is described in this report. Methods: Ninety-six patients with carpal tunnel syndrome (106 wrists) were operated on through a 2 cm vertical incision, above the flexor crease of the wrist, under local infiltration anesthesia, without tourniquet control. The mean time length of the operation was nine minutes. Results: Numbness and night pain disappeared in all cases postoperatively. The mean time period to return to work and full activity was 18 (12-26) days. Conclusion: Decreasing the time needed before the patient can return to work, minimizing the rate of complications and reducing hospital costs are advantages of this technique.