I. Okutsu et al., COMPLETE ENDOSCOPIC CARPAL-TUNNEL RELEASE IN LONG-TERM HEMODIALYSIS-PATIENTS, Journal of hand surgery. British volume, 21B(5), 1996, pp. 668-671
The roof of the carpel tunnel (or canal) consists of the distal portio
n of the flexor retinaculum, the flexor retinaculum (or the transverse
carpal ligament) and the proximal portion of the flexor retinaculum.
We tried to determine which anatomical structures were relevant to com
plete endoscopic carpal tunnel decompression in long-term haemodialysi
s patients with carpal tunnel syndrome. Carpal tunnel pressure was mea
sured using the continuous infusion technique before and after endosco
pic release of the flexor retinaculum, distal portion of the flexor re
tinaculum and the proximal portion of the flexor retinaculum respectiv
ely in 257 hands. We concluded that release of the distal portion of t
he flexor retinaculum, in addition to the flexor retinaculum, is essen
tial for complete carpel tunnel decompression in long-term haemodialys
is patients.