Wrist Nerve decompression

Definition

Removing thick ligaments compressing wrist median nerve through minimal incision

Carpal tunnel is a pathway underneath the subcutaneous tissue of the wrist, consisting of wrist bones and ligaments. Nine tendons and one nerve pass through this tunnel. Carpal tunnel syndrome is a condition of the palm and fingers when the median nerve is damaged by compression of narrowed carpal tunnel. If the pain persists even after conventional treatments, nerve decompression surgery, involving the opening of the ligaments and relieving the nerve, can be performed. For advanced endoscopic surgery, this can be done through a minimal incision of 1-2 cm that can aid with early recovery.

Indication

  • Numbness of hands for more than 3-4 months
  • Pain interrupts sleep at night
  • Moderate or worse abnormalities on electromyogram
  • Atrophy of thumb

Procedure

  • 1.Linear incision of 1.5cm on the wrist
  • 2.Stop bleeding from small blood vessels
  • 3.Cross incision of transverse carpal ligament compressing the median nerve
  • 4.Extending the incision on both ends while protecting the median nerve
  • 5.Suture after confirming the decompression

Duration

10~20 minutes

Hospital stay

1~2 days if necessary