Carpal tunnel syndrome is often underestimated
In 1990, the trend toward endoscopic surgery (keyhole surgery) began. However, it has since become evident that this technique often leads to injuries of the main nerve (median nerve) or its motor branch to the thenar muscles. The reason for this is the numerous anatomical variations in the course of the median nerve and its branches—sometimes the main trunk divides earlier, or the motor branch to the thumb leaves the main trunk not on the thumb side but on the little finger side. These anatomical variations are often recognized too late or not at all with the endoscopic technique, even by experienced surgeons, which can result in nearly irreparable injuries.
In my operations, I make two small skin incisions, allowing all structures to be clearly identified and “accidents” to be avoided. The healing period is only slightly longer compared to the endoscopic technique. Both points are also supported by a prospective study conducted at Vienna General Hospital (AKH).
The health insurance funds naturally cover the cost of the procedure.
