Surgery of the carpal tunnel

Technical note

Noel Eboh M.D.1 and Donald H. Wilson M.D.1
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  • 1 Department of Neurosurgery, Dartmouth-Hitchcock Medical Center, Hanover, New Hampshire
Page Range:
316–318
Volume/Issue:
Volume 49: Issue 2
DOI link:
https://doi.org/10.3171/jns.1978.49.2.0316
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✓ The authors describe a modified technique for surgery of the carpal tunnel. The primary cause of the carpal tunnel syndrome is the same as other entrapment neuropathies: an enlarged nerve within a tight tunnel. Electrical studies have shown that the area of compression is in the middle of the tunnel. Treatment is surgical: a palmar incision, which begins at the wrist medial to the palmaris longus, to avoid damage to the sensory branch of the median nerve; and section of the retinaculum from the exit of the tunnel toward the entrance.

Volume 49: Issue 2 (Aug 1978)

in Journal of Neurosurgery
Cover Journal of Neurosurgery

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Keywords:
carpal tunnel; median nerve; technique
Page Count:
3
  • 1.

    Hunt WE, & Luckey WT: The carpal tunnel syndrome. Diagnosis and treatment. J Neurosurg 21:178–181, 1964 Hunt WE, Luckey WT: The carpal tunnel syndrome. Diagnosis and treatment. J Neurosurg 21:178–181, 1964

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  • 2.

    Phalen GS, , Gardner WJ, & La Londe AA: Neuropathy of the median nerve due to compression beneath the transverse carpal ligament. J Bone Joint Surg 32A:109–112, 1950 Phalen GS, Gardner WJ, La Londe AA: Neuropathy of the median nerve due to compression beneath the transverse carpal ligament. J Bone Joint Surg 32A:109–112, 1950

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  • 3.

    Taleisnik J: The palmar cutaneous branch of the median nerve and approach to the carpal tunnel. J Bone Joint Surg 55A:1212–1217, 1973 Taleisnik J: The palmar cutaneous branch of the median nerve and approach to the carpal tunnel. J Bone Joint Surg 55A:1212–1217, 1973

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  • 4.

    Wilson DH, & Krout R: Surgery of ulnar neuropathy at the elbow: 16 cases treated by decompression without transposition. Technical note. J Neurosurg 38:780–785, 1973 Wilson DH, Krout R: Surgery of ulnar neuropathy at the elbow: 16 cases treated by decompression without transposition. Technical note. J Neurosurg 38:780–785, 1973

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