Treatment: ECTR

1.  Brown, M. G., Keyser, B., Rothenberg, E.S., “Endoscopic carpal tunnel release.” JHS, 1992; 17A: 1009-1011.

Small series of successful ECTR shortly after its introduction.

2.  Erdmann, M.W.H. “Endoscopic carpal tunnel decompression.” JHS, 1994;
19B:5-13.

3.  Futami, T. “Surgery for bilateral carpal tunnel syndrome.” Acta Orthop Scand, 1995; 66:2:153-155.

Small series comparing ECTR with OCTR. ECTR done on one side, open done in the opposite hand. Respondents generally favored ECTR.

4.  Jiminez, D.F., Gibbs, S.R., Clapper, A.T. “Endoscopic treatment of carpal tunnel syndrome: a critical review.” J Neurosurg, 1998; 88:817-826.

Review of ECTR literature up to 1998. Confirms 97% satisfaction and low complication rate.

5.  Lee, H., Jackson, T., “ “Carposcopic” carpal tunnel release: A direct approach to carpal tunnel through a limited skin incision.” WVU Medical School, Charleston Division, Division of Plastic Surgery, Charleston Area Medical Center, Charleston, WV 25301.

No value in this option. There is too much chance for bruising the median nerve.

6.  Palmer, D.H., Paulson, C., Lane-Larsen, C.L., Peulen, V.K., Olson, J.D. “Endoscopic carpal tunnel release: A comparison of two techniques with open release.” J Arthroscopic and Rel Surg, 1993; 9:5:498-508.

7.  Okutsu, I., Ninomiya, S., Takatori, Y., and Ugawa, Y. “Endoscopic management of carpal tunnel syndrome.” Arthroscopy, 1989; 5:1:11-18.

8.  Trumble, T.E., “Outcome of single portal endoscopic vs. open carpal tunnel release: A prospective randomized trial.” AAOS poster exhibit, 2-28 through 3-4-2001, San Francisco, CA.

Small prospective service. Much faster RTW with satisfactory outcome in ECTR vs. open CTR patients at UCSF vs. Seattle.