Carpal tunnel decompression
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Learn the Carpal tunnel decompression surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Carpal tunnel decompression surgical procedure.
Median nerve compression at the wrist resulting in Carpal tunnel syndrome is the most common peripheral nerve entrapment neuropathy. Patients will report tingling and numbness in the thumb index and middle fingers, difficulty manipulating small objects, aching around the wrist and a tendency to drop things. Night time symptoms of tingling disturb sleep and frequently numbness persists on waking. The loss of fine motor control is due to loss of sensory feedback as well as median-innervated intrinsic muscle weakness and the loss of thumb opposition. Clinical examination will confirm the diagnosis and neurophysiological tests may be used to confirm the diagnosis, provide a severity of grading or help in diagnosis in challenging or atypical presentation.
Open surgical decompression of the Carpal tunnel remains the gold standard although mini-open and endoscopic Carpal tunnel decompression have become popular in an attempt to reduce scar sensitivity following surgery and shorten return to work. Limited exposure techniques convey a higher risk of iatrogenic nerve injury. I use a traditional open approach in my practice.
Readers will also find the following associated techniques of interest:
Author:Mr Dominic Power FRCS (Tr & Orth)
Institution: The Queen Elisabeth Hospital, Birmingham, UK.
- Each operation and the questions associated become a named course in the CPD section
- The operative technique itself is read as a lesson as is any company implant information if this is being assessed.
- You’ll need to tick the box to confirm this has been done and can do this immediately if you have already read the op tech.
- The vast majority of operations have a 10-15 MCQ quiz covering all aspects of the decision making and the technique
- There are four possible answers of which one is correct (or on occasion more correct) than the others.
- There are additional quiz modules on the surgical steps, the implants and problem cases being added continually
- The course is completed once all the lessons are read and quizzes submitted and passed.
- On successful completion of each quiz you will receive validated CPD points that add to the certificate in your CPD folder.
- Your dashboard also will contain a record of the time you have spent logged onto and using the site.
- The timer suspends after 5 minutes though if there is no activity.
- When you restart you will resume at the same point in the module.
- Once you have completed each quiz you will need to feedback on the module first then click “submit” and your paper will be marked.
The pass mark is 75%.
- If you fall below this level you will be directed back to re-read the slides where you’ve tripped up.
- Once these have been read you can re-do just the questions you failed on.
- Once you have passed the quiz you can return at a future stage & resit .
- Operation Quiz – 1 CPD point
- Surgical steps Quiz – 1/4 CPD point
- Implants Quiz – 1/4 CPD point
- Problem case Quiz – 1/2 CPD point
One CPD point equates to one hour of academic activity
Welcome to the Professional Development question section. The objective of taking these tests is to demonstrate that you have understood all aspects of the assessment and management of patients requiring surgical intevention. On successful completion you will receive a certificate accredited by both the Royal College of Surgeons of both England and Edinburgh as well as the British Orthopaedic Association.
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