Carpal Tunnel Syndrome Treated by Release of Carpal Tunnel Through a Small Transverse Incision

Abstract

Background: Carpal Tunnel Syndrome (CTS) is the most common entrapment neuropathy, caused by compression of the median nerve under the flexor retinaculum at the wrist. Objective: This study aims to evaluate the effectiveness of carpal tunnel release through a small transverse incision in alleviating symptoms in patients with CTS who did not respond to conservative treatments. Method: A prospective interventional study was conducted on 30 patients at Rajshahi Medical College Hospital from January 2019 to December 2022. Patients underwent open carpal tunnel release through a 1.5 cm transverse incision at the proximal palmar crease. Outcomes were measured through clinical assessments (Phalen's test, Tinel's sign) and post-operative follow-ups at 30 days. Results: Of the 30 patients treated, 24 (80%) were female, and 6 (20%) were male, with ages ranging from 30 to 60 years. The duration of symptoms was less than one year in 6 patients (20%), between one to two years in 17 patients (56.67%), and more than two years in 7 patients (23.33%). Satisfactory outcomes were observed in 29 patients (96.67%), with improvement in paresthesia, numbness, and pain. One patient (3.33%) had persistent symptoms post-surgery. No major complications, such as infection or motor nerve injury, were reported. Conclusions: Carpal tunnel release through a small transverse incision is a safe, low-cost, and effective treatment for CTS, offering rapid recovery with minimal complications.