20,21) Surgical release involves cutting the transverse carpal ligament over the carpal tunnel to decompress the median nerve.
Palpate the transverse carpal ligament at the distal wrist.
Insufficient loosening of the transverse carpal ligament
, the compression of the scar tissue on median nerve can be imaged with MRI .
CTS is a common peripheral nerves entrapped disease with only treatment of transverse carpal ligament
There is also a risk of failure to improve immediately postoperatively as a result of causes other than CTS such as cervical radiculopathy of the C5-C7 (double crush syndrome) or incomplete release of the transverse carpal ligament
The standard surgical procedure involves dividing the transverse carpal ligament
thus relieving pressure on the median nerve.
The operative procedure of choice remained open release of transverse carpal ligament
thereby decompressing the median nerve.
Conventional treatment involves carpal tunnel decompression by excising the flexor retinaculum and transverse carpal ligament
10) Though it is the shortest of the ligaments; it is also the widest and thickest, second to the transverse carpal ligament
At the time of surgery, the transverse carpal ligament
was incised and a persistent median artery (which was patent) and bifid median nerve were identified.
It has a roughened volar surface, offering attachment to the transverse carpal ligament
, abductor digiti minimi, and flexor carpi ulnaris.
Carpal tunnel syndrome occurs as a result of chronic compression of the median nerve in the carpal tunnel whose dorsal medial and lateral walls are formed by carpal bones and whose volar surface is formed by deep transverse carpal ligaments