Carpal tunnel release is a very common process, due to the prevalence of carpal tunnel syndrome, especially among females around the world, which is the narrowing of the carpal tunnel in the hand, and it is a medical condition that results from the compression of the median nerve in the carpal tunnel, which results in a disorder of this nerve. The main symptoms are pain, tingling, and numbness in the thumb, index, middle, and thumb side of the ring finger. Symptoms usually begin gradually during the night. The pain may extend to the arm. Weakness in hand grip strength may occur, and after a long period, the muscles at the base of the thumb may atrophy. Both sides are often affected in more than half of the cases.
Risk factors include obesity, repetitive wrist work, pregnancy, and rheumatoid arthritis. Hypothyroidism increases the risk. Diabetes may be one of the causes. The types of work associated with carpal tunnel syndrome include using a computer, using vibrating tools, and work that requires a strong grip. The diagnosis is suspected based on signs and symptoms, and specific physical tests, and may be confirmed by electrodiagnostic tests. If there is atrophy of the muscles at the base of the thumb, the diagnosis is likely to be carpal tunnel syndrome.
Surgical treatment by carpal tunnel release is an effective method, and its results are good compared to non-surgical options.
Carpal tunnel release by Dr. Abdulamid Sayed Issa
A surgical patent was registered in his name according to the National Institute of Health in the United States of America in 2016 (Carpal Tunnel Release Through Mini Transverse Approach (CTRMTA)) and it was called the surgical Sayed Issa’s Approach.
It was adopted as a reference in orthopedic surgery for carpal tunnel release and has been published in several international sites, most notably MedCrave for medical research:
With ISO DOI accreditation: 10.15406/mojor.2018.10.00409
- Research gate
- Semanticscholar
Abstract
Introduction: The idea of the CTRMTA technique came from carpal tunnel release through an endoscopic incision. But using the traditional surgical tools that are used for carpal tunnel release, not the endoscopic tools.
METHODS: The clinical experience with this technique consisted of 43 cases (patients) with 48 hands over a period of three years, five cases were bilaterally performed in the same session, this study was from February 2013 to March 2016. Carpal tunnel release was performed for all cases as direct discharge patients from the hospital and under local anesthesia.
Carpal tunnel release using CTRMTA can be used by experienced hand surgeons, especially in countries where endoscopic carpal tunnel release is expensive or unavailable.
Carpal tunnel release using CTRMTA is a technique of making a small transverse incision through which the carpal tunnel is released; The incision is about 1.5 cm through the distal palmar crease.
Results
For carpal tunnel release with this method, the average duration of the operation is 10 minutes, and the minimum duration is 8 minutes. There is no injury to nerves or blood vessels in all cases. Carpal tunnel release with this technique is simple, safe, and highly satisfaction for all patients who have previously had a standard open palmar carpal tunnel release incision compared to the other limb that was operated by our carpal tunnel release method, it should be noted that the Carpal tunnel release in this way is low cost.
