Closed technique with paine retinaculotome and modified retinaculotome MDC

Abstract

It has been proven that flexor tenosynovectomy and median neurolysis are practically not useful in the treatment of essential carpal tunnel syndrome and should be reserved for specific indications [13, 19, 36]. The fact that the improvement infunction following surgery has to be attributed completely to the division ofthetransversecarpalligament [36] has been recognized only recently.Closed techniques for decompression of the median nerve at the wrist in carpal tunnel syndrome,along with endoscopic methods,have received particular attention towards the end of the 1980s. © 2007 Springer-Verlag Berlin Heidelberg.