Endoscopic carpal tunnel release in selected rheumatoid patients

Twenty endoscopic carpal tunnel releases were performed in 15 patients with quiescent seropositive rheumatoid arthritis using the Agee technique. Pati ents were not considered for endoscopic carpal tunnel release if there was florid synovitis with crepitus or loss of active finger flexion, if there w as evidence of flexor tendon rupture or if they bad previously undergone su rgery in the region. Access to the tunnel was significantly easier than nor mal and visualization of the flexor retinaculum was satisfactory in all cas es. There were no complications. We conclude that endoscopic carpal tunnel release can be safely performed in selected patients with rheumatoid arthri tis. The absence of a palmar scar can be a great advantage to these disable d patients.