What is it about?

Carpal tunnel syndrome is a hand problema affecting millions of people all over the world. In the USA alone it is estimated that more than 400,000 people are operated to this condition every year. My paper describes a simple and SAFE way to perform the operation through a 1cm palmar wrist crease incision (without the burden and the expense of of using an arthroscope). Minimal surgical training is necessary.

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Why is it important?

Carpal tunnel surgery, apparently, is a simple operation that can be done with a simple scapel blade, through a palmar incision in the hand. Therefore, orthopaedic, plastic, neuro and even general surgeons perform it. The problem is that a small % of patients develop significant scar pain problems and worse: nerve (and other) lesions do to incidental (iatrogenic) section during the operation - resulting in a problem that may affect the patient for life. Although the probability of this happening is small, given the large number of people operated, the number of people affected is quite large.


The "Insight-Precision" carpal tunnel release technique was developed with to interrelated principles: 1) The KISS principle : K-keep I- it S-simple S-stupid. No need for cadaveric training, no need of special skills (arthroscopic training and equipment),and 2) The FATE of the patients of the so called "LEARNING CURVE". IS ANYONE AWARE OF ANY PUBLICATION EVER WRITTEN ON THIS SUBJECT?

jose carmo
Clínica Ortopédica Dr. Dinis Carmo

Read the Original

This page is a summary of: ‘INSIGHT-PRECISION’: a new, mini-invasive technique for the surgical treatment of carpal tunnel syndrome, Journal of International Medical Research, October 2019, SAGE Publications, DOI: 10.1177/0300060519878082.
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