title: Concurrent Minimally Invasive Carpal Tunnel Release Techniques in Distal Radius Open Reduction Internal Fixation.
abstract: Carpal tunnel syndrome is a common complication associated with distal radius fractures. Open carpal tunnel release in the same setting as open reduction and internal fixation of distal radius fractures is widely accepted. In this paper, we describe the technical details of a minimally invasive carpal tunnel release in the same setting as the fixation of a distal radius fracture via the same incision. Two options of minimally invasive techniques are described: The Knifelight® (Stryker, Kalamazoo, Michigan, USA) instrument and the single portal carpal tunnel release system (Agee, 3M Healthcare, St Paul, Minnesota, USA). Being well known and accepted techniques of carpal tunnel release, we believe that the techniques described in this paper provide a viable alternative for carpal tunnel release in the setting of distal radius fracture fixation; with the added advantages of the original minimally invasive techniques.
authors.affiliation: 1 Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Singapore.
authors.forename: O-Wern
authors.initials: OW
authors.lastname: Low
authors.affiliation: † Department of Hand and Reconstructive Microsurgery, University Orthopaedic and Hand Reconstructive Microsurgery Cluster, National University Health System, Singapore.
authors.forename: Andre E J
authors.initials: AE
authors.lastname: Cheah
mesh_terms: D000058:Accidental Falls; D002349:Carpal Tunnel Syndrome / Q000209:etiology / Q000601:surgery*; D019299:Decompression, Surgical; D005593:Fracture Fixation, Internal; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation*; D000070799:Open Fracture Reduction; D011885:Radius Fractures / Q000150:complications / Q000601:surgery*; D055815:Young Adult
keywords: Carpal tunnel release; Distal radius fracture; Endoscopic technique; Knifelight