Endoscopic Carpal Tunnel Surgery is slightly more difficult than open surgery and is therefore infrequently taught but the results are excellent. The majority of research papers show a faster return to normal activities. This tends to be about 2 weeks faster than with the open technique.
We always do this operation with the patient awake. We normally use a tourniquet but can do the operation without if necessary.





This sequence of photos shows the steps in the operation.


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Markings for endoscopic surgery to show the safe area.

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Starting to inject the local anaesthetic

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Last few drops of local being injected.

The clock starts
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The incision.


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The scope in position



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The view inside the wrist


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7 minutes later. The final dressing!