We measured pressure changes in Guyon's canal and the carpal tunnel be
fore and after endoscopic (11 cases) and open (10) carpal tunnel relea
se. We found that release of the flexor retinaculum by endoscopic and
open techniques measurably decreased pressure in both the carpal tunne
l and Guyon's canal. This study provides an explanation for relief of
ulnar tunnel syndrome symptoms following carpal tunnel release and may
indicate that carpal tunnel release alone may be sufficient to provid
e symptomatic relief for most patients with carpal and ulnar tunnel sy
ndromes.