Endoscopic Carpal Tunnel Release (Dr. Wehbe)

Potential Advantages

  • Smaller scar
  • Less pain
  • Less loss of strength
  • Sooner return to everyday activities
  • Less need for Hand Therapy

Potential Disadvantages

  • Short “track record”
  • Failure rate unknown
  • May need further surgery, if not successful
  • Higher risk for complications (?)

Relative Contraindications

  • Stiff fingers (flexor tenosynovitis)
  • Rheumatoid arthritis
  • Muscle atrophy
  • Previous carpal tunnel surgery

Endoscopic Carpal Tunnel Release allows the release of the carpal tunnel with one or two very small incisions. A camera is used to obtain visualization and cut the tight ligament constricting the nerve. This procedure has been growing in popularity only since the 90s and its long-term success rate is therefore not clearly known. Should the endoscopic release fail, the conventional open release can still be performed.