Abstract
Endoscopic release of the transverse carpal ligament for relief of median nerve compression neuropathy has recently been promoted as superior to traditional open surgical methods. A decreased incidence of scar tenderness, postoperative hand weakness, and pillar pain and an earlier return to work have been suggested. As a consequence of the limited surgical exposure inherent to endoscopic procedures, there has been concern regarding potential risks to neurovascular structures in the hand. We report a case involving complete transection of the ulnar nerve during two-portal endoscopic carpal tunnel release requiring sural nerve grafting for reconstruction.
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