Acta Orthopaedica et Traumatologica Turcica
Technical Note

A mini-incision carpal tunnel release technique to prevent pillar pain: A technical note

1.

Clinic of Orthopedic Surgery and Traumatology, University General Hospital “Gregorio Marañón”, Madrid, Spain

2.

Departmen of Anatomy and Embryology, Complutense University of Madrid, School of Medicine, Madrid, Spain

3.

Retired from Hospital Nuestra Señora del Rosario, Madrid, Spain

AOTT 2021; 55: 73-75
DOI: 10.5152/j.aott.2021.20086
Read: 115 Downloads: 43 Published: 22 February 2021

Pillar pain represents one of the most common complications of classic open carpal tunnel release (CTR). This complication causes a sense of discomfort worse than the compression syndrome itself. We, herein, introduce a new treatment method for CTR through a mini-incision, which allows subcutaneously cutting the transverse carpal ligament (TCL) and releasing the median nerve without neurovascular complications. This mini-incision approach can allow the direct visualization and preservation of the thenar motor branch in those rare cases where it has an aberrant origin. For the past 10 years, we have consecutively performed this technique in the surgical treatment of 318 patients with the diagnosis of primary CTS, without developing any neurovascular and tendon injuries as well as pillar pain.

Cite this article as: Morán-Morán J, Mérida-Velasco JR, del Valle EB, Murillo-González J. A mini-incision carpal tunnel release technique to prevent pillar pain: A technical note. Acta Orthop Traumatol Turc 2021; 55(1): 73-5.

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ISSN 1017-995X EISSN 2589-1294