Carpal Tunnel Repair and Fasciectomy for Carpal Tunnel Syndrome and Dupuytren’s Disease
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Procedure Outline
Table of Contents
- 1. Introduction
- 2. Tourniquet
- 3. Incision in Thenar Crease
- 4. Incision through Palmar Aponeurosis
- 5. Clearing Tissue Superficial to Transverse Carpal Ligament (TCL) and Creating Space to the Distal Forearm
- 6. Gently Starting Incision Through TCL with Scalpel
- 7. Proximal TLC Release into Distal Forearm with Dissecting Scissors
- 8. Distal TLC Release with Scalpel and Dissecting Scissors
- 9. Closure
- 10. Incision
- 11. Skin Flaps
- 12. Identification of Neurovascular Bundles and Diseased Fascia
- 13. Dissection Around Retrovascular Cord and Partial Excision
- 14. Complete Excision of Remaining Cord
- 15. Addressing Tissue Towards Ring Finger
- 16. Releasing Tourniquet and Checking Circulation
- 17. Hemostasis
- 18. Reapplying Tourniquet and Closure
- 19. Local Anesthetic
- 20. Drain Placement and Dressing for Splinting
