Objective:

In this prospective study, we aimed to evaluate the efficacy of minimally invasive surgical technique at the proximal of the distal wrist crease for carpal tunnel release with clinical and pre- and postoperative magnetic resonance imaging (MRI) findings.

Method:

Carpal tunnel release was performed on 102 wrists of 65 patients with a mini-incision at the proximal of the distal wrist crease. Clinical assessment of the patients was made with the Boston Carpal Tunnel Questionnaire. Preoperative and postoperative third month MRIs were examined.

Results:

There was a clinically significant difference between the preoperative and postoperative third month results (p<0.001). The findings from the preoperative MRIs have significantly decreased in number in the postoperative MRIs (p<0.001). None of the patients experienced pillar pain or scar tissue sensitivity. No resurgery was required.

Conclusion:

Carpal tunnel release with a minimally invasive approach performed at the proximal of the distal wrist crease is an efficient method. Early return to physiological activities has increased the patient comfort.

Keywords: carpal tunnel syndrome, decompression, minimally invasive surgical procedures, wrist, magnetic resonance imaging