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James W. Strickland, M.D.

Material Covered:

In the February 2002 publication of JBJS, Shum et.al. present an excellent review and discussion of the pathomechanics of carpal tunnel syndrome. They conclude there is no difference in the clinical outcome whether the tenosynovium was excised or not at the time of surgical decompression of the carpal tunnel. The JBJS editorial board asked Dr. James W. Strickland of Indianapolis, Indiana to write a web commentary on the Shum article. Dr. Strickland not only agrees with the author's conclusion, but also feels reckless tenosynovectomy at the time of surgical decompression of the carpal tunnel may lead to later complications.

In this video supplement, Dr. Strickland presents his technique for carpal tunnel release which involves what he refers to as a 'limited incision'. His approach combines the best aspects of both the minimally invasive endoscopic approach and the traditional open release.

Material Covered

• Tenosynovectomy Discussion
• Conservative Treatment
• Advantages / Disadvantages of Surgical Technique Options
• Indications / Contraindications
• Factors Influencing Satisfactory Surgical Outcomes
• The Limited Incision Open Carpal Tunnel Release Technique
• Avoiding Complications
• Postoperative Protocol

See the corresponding JBJS Article:

Charlotte Shum, May Parisien, Robert J. Strauch, and Melvin P. Rosenwasser.

The Role of Flexor Tenosynovectomy in the Operative Treatment of Carpal Tunnel Syndrome.
J Bone Joint Surg Am 2002 84: 221-225. [Abstract] [Full Text]

• Total Run Time: 18:08 minutes
• Catalog Number: 3017
• Publication Date: June 2002
• Formats: NTSC, PAL and DVD

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