this is Aaron Fralick and the following
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procedure and video show a mini open
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carpal tunnel release technique the
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superficial landmarks including the hook
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of the hamate and Kaplan's cardinal line
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are then marked on the skin and the line
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in line with the radial border of the
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ring finger as unmarked if there's a
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convenient crease in the palm this can
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be used approximately two centimeter
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incision is then marked beginning at
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Kaplan's Cardinal line and extending
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approximately the position of the
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recurrent branch till the archer then
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confirmed a flexion of the fingers
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the skin is sharply incised and bipolar
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can be used for hemostasis at this point
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in this case after retracted a place
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sharp dissections continued through the
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palmar fascia and down to the level of
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the transverse carpal ligament the
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distal edge of the ligament is
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identified with blunt dissection and the
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hemostat is then introduced into the
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carpal tunnel protecting the carpet all
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contents along its own or border the
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transverse carpal ligament have been
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carefully incised sharply here you can
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see a pulmonary rebus continue with our
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sharp dissection through the ligament
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under direct visualization and
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the proximal edge of the incision is
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reached with directors a place and using
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a blunt tip scissor the remainder of the
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transverse carpal ligament across to the
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wrist crease is then in size under
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direct visualization completely release
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is confirmed and then any remaining
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distal fibers of the transverse carpal
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ligament are incised as well the
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incision is closed in interrupted
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fashion using no fill suture as you can
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see this procedure was then done in
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conjunction with a CMC arthroplasty
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which can be seen as a separate video in
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cases of isolated carpal tunnel release
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no splint is applied to only a soft
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dressing