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mr. David Drake doing a video of an
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overcome fulfillment beliefs typically
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the incision is 1/2 centimeters in
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length it's a day we've been made it a
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little bit larger for purposes of this
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video blowing the long axis of the
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fourth metacarpal incisions made through
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the skin into the subcutaneous tissue I
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like to identify the superficial calmer
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fashion in a radial fashion and to
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develop a superficial flap of this
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fashion flapping will be in size on the
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radial aspect and be used in our closure
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to detect the nerve from sub-blocks and
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even sometimes tissue once the
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transverse carpal ligament has
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identified the tunnel ended with a freer
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elevator with a freer elevator against
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the hook of the hamate the 15 blade is
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used to cut down to the freer thereby
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releasing the transverse carpal ligament
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this has them at the almost border of
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the canal you can see the nerve buddies
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underneath the ligament
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and the ligament is free both proximally
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and distally and closure the superficial
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fasciae is then tacked to the cut edge
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of the ulnar border of the transverse
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carpal ligament again forbidden to help
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prevent subluxation if that are included
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into the set of things tissue one or two
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absorbable sutures are used to
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accomplish this goal interrupted for
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monofilament is in use in a horizontal
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and simple fashion on a full wound
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closure I typically like to splint my
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patients for 710 days and sutures out of
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two weeks therapy as as indicated with
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their swelling pain and so forth