Background. The surgical therapy modalities for carpal tunnel syndrome, vary from open transverse carpal ligament release TCLR, to different surgical treatment options, Minimal invasive release, endoscopic release, and sonographically guided release, with no consensus about any of them.
Aim of the work. To evaluate the end results and efficacy after minimally invasive carpal tunnel syndrome.
Patient and methods, Twenty patients with severe carpal tunnel syndromes, were treated at Al-Azhar University Hospitals between 2015-2017, with percutaneous technique, will be described in detail. There were 2 males and 18 females, 45.9 years of age on average with an average follow-up of about 12 months.
Results. All patients were satisfied except three patients. two of them suffered from recurrence and one from scar formation. There was no difficulty with this technique for all patients except for one female patient with marked obesity. In our study, we will compare our results to the open technique. No adjacent structures were damaged
Conclusion. This study demonstrated that minimal invasive carpal tunnel release is potentially a safe, secure, quick, and effective procedure to transect the transverse carpal ligament and may be an alternative option to traditional surgical treatment of carpal tunnel syndrome and need more accurate knowledge of district anatomy and more experience.