SURGICAL OUTCOME OF PROXIMAL INCISION OF CARPAL TUNNEL RELEASE

Salim, Mohammud Ahmud; Elnoamany, Hossam; Dorrah, Mohammed Adel; Sleem, Ahmed; Mansour, Ahmed Said

doi:10.21608/ejhm.2025.418235.1827

SURGICAL OUTCOME OF PROXIMAL INCISION OF CARPAL TUNNEL RELEASE

Document Type : Original Article

Authors

¹ Lecturer at neurosurgery department of Menoufia University.

² Professor and of the department of neurosurgery of Menoufia University

³ Menoufia university hospitals, faculty of medicine of menoufia university

⁴ Resident at neurosurgery department of Nasser Institute for Research and Treatment, Cairo, Egypt

⁵ Ass. Professor at neurosurgery department of Menoufia University

10.21608/ejhm.2025.418235.1827

Abstract

Background: Carpal tunnel syndrome (CTS) is the most common peripheral nerve compression disorder affecting the upper extremities worldwide. It develops as a result of median nerve compression at the wrist. Release of the transverse carpal ligament by an extended longitudinal incision is the classical performance of the open method. A variety of minimally invasive techniques were introduced for the purpose of preventing the classical method's complications. Transverse carpal ligament sectioning is typically performed with generic tools. A minimally invasive technique with short longitudinal palmar incision and an original knife was introduced by Avci and Sayli with satisfactory outcomes. This article analyzes the pain, healing, and the proximal incision complications of carpal tunnel release.
Patients and Methods: A Prospective and retrospective study was conducted to evaluate the outcome of proximal incision in carpal tunnel syndrome release during the period from 12/2022 to 12/2024. The study included 32 patients. We used the pre- and post-operative Boston Carpal Tunnel Syndrome Questionnaire (BCTQ), also referred to as the Levine scale, to evaluate the recruited participants.
Results: Improvement of symptoms (burning, numbness, and worse night time pain) were noticed to all (32) operated patients. There was an extensive improvement of total pain and function score. No recurrence of symptoms for more surgery was reported by the patients. No other significant issues were identified.
Conclusion: The proximal transverse incision for carpal tunnel release is superior because it isn't limited in practice. Pain is minimal and it heals fast with no significant complications. It also appears better, is less tense, and reduces the risk of problems with touch. The resolution of the symptoms was significant.

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