Mini-incision technique in carpal tunnel syndrome: A study on presentation and its outcome

Abstract

Background: Carpal tunnel syndrome (CTS) is a major occupational health issue, characterized by numbness, tingling, and pain in the hands, which impairs daily activities. While treatment options range from conservative management to surgery, minimally invasive techniques like mini-incision carpal tunnel release have gained popularity for their effectiveness in reducing symptoms and postoperative complications. Thus, the study aimed to evaluate the presentation and outcomes of carpal tunnel decompression using a 1.5 cm mini-incision technique. Methodology: A total of 20 patients with CTS, unresponsive to conservative treatment, underwent mini-incision carpal tunnel release. The procedure involved a 1.5 cm incision, followed by decompression of the median nerve. Outcomes were assessed preoperatively and postoperatively. Functional outcomes were evaluated based on symptom relief and recovery. Results: The study included 80% female and 20% male patients, with a mean age of 46.15±8.09 years. Of the cases, 40% had right CTS, 35% had bilateral, and 25% had left CTS. Postoperatively, no immediate complications were observed. However, 25% of patients reported delayed tingling sensations. The mean pretest BCTQ score was 14.1±0.79, significantly reducing to 8.2±1.28 postoperatively. Functional outcomes were good in 75% of cases and moderate in 25%. Conclusion: The mini-incision technique for carpal tunnel release proved effective and safe, offering substantial relief from symptoms with no critical complications. This approach provides a favorable alternative for patients, ensuring symptomatic improvement with minimal risk of adverse outcomes.