Carpal tunnel release has a high rate of success when the open or endo
scopic technique is used. The reported complications of the endoscopic
procedure have included incomplete release of the transverse carpal l
igament and injury to the neurovascular structures or flexor tendons.
The complication rates are comparable when performed by surgeons well
versed in the technique. The procedure is technically demanding but ca
n be performed safely with an understanding of the anatomic structures
at risk and strict adherence to surgical methods. The technique has a
steep learning curve and requires considerable practice on cadaveric
specimens after attendance at one of the available courses.