Original communication
Major neurovascular complications of endoscopic carpal tunnel release

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Abstract

Endoscopic carpal tunnel release is becoming an increasingly popular method of surgically correcting median nerve compression. Several complications have been suggested as possibilities following the technique; however, to data, there have been only isolated reports of iatrogenic injury to major neurovascular structures in the hand. We report both a case of transection of the median nerve and a pseudoaneurysm of the superficial palmar arch following endoscopic carpal tunnel release.

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    Citation Excerpt :

    Carpal tunnel release (CTR) usually provides a good outcome with complete resolution of symptoms. However, treatment failure and complications are encountered in 1% to 25% of all CTR published reports, with a reoperation rate of up to 12%.2–9 In 1966, Phalen10 published his experience of 212 CTRs, with only 2 patients requiring reoperations.

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