The procedure is used as a treatment for carpal<unk>  syndrome and according to the American Academy of Orthopaedic Surgeons (AAOS) treatment guidelines, early surgery is an option when there is clinical evidence of median nerve denervation or the patient elects to proceed directly to surgical treatment. Management decisions rely on several factors, including the etiology and chronicity of CTS, symptom severity, and individual patient choices. Nonsurgical treatment measures are appropriate in the initial management of most idiopathic cases of CTS. Splinting and corticosteroid injections may be prescribed, and they have proven benefits. Steroid injections can provide relief if symptoms are of short duration. If no improvement is seen following steroid injection, carpal<unk>  release may not be as effective. Surgical treatment is indicated in acute cases of CTS from trauma or infection, in chronic cases with denervation of the abductor pollicis brevis muscle or a pronounced sensory loss, and in cases unresponsive to conservative management. Before pursuing CTR, confirmation of the diagnosis of carpal<unk>  syndrome is recommended, given that the symptoms of median nerve entrapment can overlap with other disorders including: cervical radiculopathy, thoracic outlet syndrome, and pronator syndrome. Beyond physical exam testing, confirmatory electrodiagnostic studies are recommended for all patients being considered for surgery. Nerve conduction studies are reported to be 90% sensitive and 60% specific for the diagnosis of carpal<unk>  syndrome. These studies provide the surgeon with a patient baseline and can rule out other syndromes that present similarly. Specifically, a distal motor latency of more than 4.5 ms and a sensory latency of more than 3.5 ms are considered abnormal. Of note, these electrodiagnostic studies can yield normal results despite symptomatic median nerve compression. In this scenario, CTR should be considered only if physical signs of median nerve dysfunction are present in addition to classical symptoms of CTS.
Carpal tunnel surgery
Periradicular surgery
Intervertebral disc annuloplasty
Schilling tendon procedure
Thread carpal tunnel release
Ulnar collateral ligament reconstruction
Shoulder surgery
Intervertebral disc arthroplasty