CHAPTER 42

Arthroscopic Carpal Tunnel Instruments

Carpal tunnel syndrome is the narrowing of the space where the median nerve enters the hand from the wrist. An arthroscope is used for the arthroscopic carpal tunnel release procedure. Lactated Ringer’s solution or saline is often used to distend the joint for visualization.

Possible carpal tunnel instruments needed for the procedure include a small joint arthroscope set, 1 Bard-Parker knife handle #3; 1 mayo dissecting scissors, straight; 1 Adson tissue forceps with teeth (1 × 2); and 1 Crile-Wood needle holder.

A brief description of the arthroscopic carpal tunnel release procedure follows:

1. A small arthroscope is inserted with the usual attachments into the carpal tunnel.

2. A retrograde knife incises the flexor reticulum with the aid of the arthroscope.

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