Carpal Tunnel Release Using the Paine Retinaculotome Inserted through a Palmar Incision

• Published in: Hand (New York, N.Y.) Vol. 9; no. 1; pp. 48 - 51
• Main Authors: Fernandes, Carlos Henrique, Nakachima, Luis Renato, Hirakawa, Celso Kiyoshi, Santos, João Batista Gomes dos, Faloppa, Flavio
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA SAGE Publications 01.03.2014; Springer US
• Subjects: Medicine; Medicine & Public Health; Multimedia; Multimedia Articles; Orthopedics; Plastic Surgery; Surgery; Surgical Orthopedics; Carpal tunnel syndrome; Palmarapproach; Paine retinaculotome; Median neuropathy; Palmar approach
• ISSN: 1558-9447; 1558-9455
• DOI: 10.1007/s11552-013-9566-x

The online version of this article (doi:10.1007/s11552-013-9566-x) contains a video, which is available to authorized users Background Carpal tunnel syndrome (CTS) is the most commonly diagnosed and treated entrapment neuropathy. There is no consensus regarding the optimal technique for carpal tunnel release. The objective of this study is to demonstrate the surgical treatment of CTS by a small palmar incision and utilization of Paine retinaculotome to divide the transverse carpal ligament. Methods In this technical note, we describe the use of a retinaculotome described by Paine in 1955, through a palmar approach. Discussion Open, minimally invasive and endoscopic surgical techniques have all been described as treatment options for CTS, and short-term success with these methods is well established. During the last decade, less invasive techniques have been developed in order to reduce the incidence of pillar pain and tender scars. We have used a mini-palmar incision and the Paine retinaculotome for carpal tunnel release since 1994. The goals of surgery are to create a small incision that permits a patient to have early motion and return to activity. Conclusion After many years, no permanent nerve or vascular damage has been reported. This method has demonstrated itself to be efficient and safe in the treatment of the carpal tunnel syndrome.