Abstract

Fifty-six endoscopic carpal tunnel releases were performed in 42 patients with quiescent seropositive rheumatoid arthritis using the Menon technique. Endoscopic carpal tunnel release was not considered for patients who had florid synovitis with crepitus, loss of active finger flexion, evidence of flexor tendon rupture or previous operation in the carpal area. Access to the tunnel was not so tight comparing to idiopathic or occupational carpal tunnel syndrome and visualization of the flexor retinaculum was satisfactory in all cases. There were no immediate complications. Endoscopic carpal tunnel release can be safely performed in selected patients with rheumatoid arthritis. The absence of a palmar scar can be a great advantage to rheumatoid disabled patients.

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