Abstract
Release of the flexor retinaculum to decompress the median nerve is the most common surgical procedure in the hand, and the numbers continue to rise. The surgical intent is simple: cut the retinaculum only. Like most procedures so designed, the results are generally thought to be excellent. However, with the rising incidence of this problem in the workforce and the postoperative time loss, great effort has been directed to defining a less invasive surgery that would satisfactorily decompress the nerve but allow a speedier recovery and return to work. Thus, there have evolved various offshoot types of carpal tunnel releases: endoscopic and mini open. Each method has proponents and variations and generally yields very satisfactory results. However, without care, there may be more surgical complications, and we may not have effectively shortened the return to work time. Caution is the key. With careful attention to detail during the procedure, however, mini open carpal tunnel releases can provide a safe, effective, and minimally invasive method for accomplishing this frequent task. Copyright © 2001 by the American Society for Surgery of the Hand
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