Carpal tunnel release is a very common procedure performed in the United States. While
the procedure is often curative, some patients experience postoperative scar sensitivity,
pillar pain, grip weakness, or recurrent median nerve symptoms. Release of the carpal
tunnel has an effect on carpal anatomy and biomechanics, including increases in carpal
arch width and carpal tunnel volume and changes in muscle and tendon mechanics. Our
understanding of how these biomechanical changes contribute to postoperative symptoms
is still evolving. We review the relevant morphometric and biomechanical changes that
occur following release of the transverse carpal ligament.
Keywords
carpal tunnel release - transverse carpal ligament - carpal canal - biomechanics -
pillar pain