Endoscopic Carpal Tunnel Release

Dr. Pruzansky is one of the few surgeons in the New York City area to perform Endoscopic Carpal Tunnel Release.

To perform the endoscopic technique in carpal tunnel release, a small 1/2 inch horizontal incision is made at the wrist and an arthroscope is introduced underneath the transverse carpal ligament. A cannula is inserted into the hand, just under the offending ligament. The surgeon looks through a scope and uses a small knife to simply cut the ligament, thus freeing the nerve.

A special blade attached to the tip of the arthroscope is then utilized to incise the transverse carpal ligament from the inside of the carpal tunnel. In effect, by cutting through the transverse carpal ligament, the compression on the median nerve is alleviated and the nerve is thus allowed to go on the heal. With nerve healing, the painful wrist syndrome is corrected.

Endoscopic carpal tunnel surgery is performed on an outpatient basis utilizing a local anesthetic to numb the arm. After the procedure, a splint is applied to the wrist and the patient is discharged and allowed to go home. Within a week, the splint is removed, a temporary wrist splint is applied and hand rehabilitation is initiated.

PHASTI is a registered trademark of Mark E. Pruzansky, MD
These pages and their contents copyright ©2008 Pruzansky Hand Athletic and Sports Trauma Institute.
975 Park Ave., New York, NY, (212) 249-8700

Dr. Pruzansky is an orthopaedic surgeon in New York City, specializing in surgeries of the hand and upper extremities, including sports medicine, with expertise in throwing, serving, and lifting injuries to the upper extremity. Dr. Pruzansky also performs endoscopic carpal tunnel release, tennis elbow and pitcher’s elbow surgery, and repair of the joints, tendons, ligaments, and nerves of the upper extremity, in addition to gamekeeper’s thumb, skier’s thumb, trigger finger, de Quervain’s tendinitis, wrist disorders, wrist sprains, pediatric orthopaedics, congenital malformations, hand surgery, carpal tunnel release, medial and lateral epicondylitis, arthritis of the hand, osteoarthritis, rheumatoid arthritis, compression neuropathies, tendon transfers, ganglion cysts, tumors of the hand, wrist, and forearm, and cubital tunnel syndrome.

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