Open and Endoscopic Carpal-Tunnel Release

Carpal tunnel syndrome affects approximately 87 men and 192 women per 100,000 people worldwide, primarily due to excessive pressure on the median nerve in the wrist. Symptoms include pain, paresthesia, and weakness in the median nerve distribution. Surgical release of the carpal tunnel can be performed using either open or endoscopic techniques, both of which yield similar long-term functional outcomes and pain relief. Open carpal-tunnel release has been the standard procedure for over a century, offering lower costs and shorter operative time. Endoscopic release, while requiring specialized equipment, allows for faster postoperative recovery and reduced scarring. Both procedures involve careful anatomical considerations to avoid injury to critical structures. Postoperative complications include bleeding, infection, and nerve damage, which can be mitigated through proper technique and patient education. Recovery timelines vary, with patients generally returning to work within 3 to 6 weeks depending on the procedure performed.

Carpal tunnel syndrome affects approximately 87 men and 192 women per 100,000 people worldwide, primarily due to excessive pressure on the median nerve in the wrist. Symptoms include pain, paresthesia, and weakness in the median nerve distribution. Surgical release of the carpal tunnel can be performed using either open or endoscopic techniques, both of which yield similar long-term functional outcomes and pain relief. Open carpal-tunnel release has been the standard procedure for over a century, offering lower costs and shorter operative time. Endoscopic release, while requiring specialized equipment, allows for faster postoperative recovery and reduced scarring. Both procedures involve careful anatomical considerations to avoid injury to critical structures. Postoperative complications include bleeding, infection, and nerve damage, which can be mitigated through proper technique and patient education. Recovery timelines vary, with patients generally returning to work within 3 to 6 weeks depending on the procedure performed.