Equis ISSN 2398-2977

Palmar carpal retinaculum: section

Contributor(s): Patrick Colahan, Graham Munroe, Chris Whitton, David G Wilson

Introduction

  • The flexor carpal sheath forms an inelastic boundary on the palmar aspect of the carpus.
  • Sectioning of retinaculum relieves pressure on swollen soft tissues beneath   →   pain relief.
  • Sectioning can be carried out by the traditional open surgery approach or via tenoscopy   Tenosynovioscopy  .

Uses

Advantages

  • Simple procedure.
  • Almost immediate relief.

Disadvantages

  • Symptomatic relief only, does not resolve primary problem.
  • Some low-grade pressure likely to persist.

Alternative techniques

Time required

  • Preparation:
    • Traditional open surgical technique: 10-30 min.
  • Procedure:
    • 30-60 min depending on degree of adhesions and other surgical procedures.

Decision taking
Criteria for choosing test

Requirements

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Preparation

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Procedure

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Immediate aftercare

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Sequelae

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Further Reading

Publications

Refereed papers
  • Recent references fromPubMedpublished during the last 12 months.
  • MacKay-Smith M P, Cushing L S & Leslie J A (1972)Carpal canal syndrome in horses. JAVMA160, 993-997PubMed.

Other sources of information

  • McIlwraith C W, Nixon A J, Wright I M & Boening K J (2005)Carpal Tunnel Syndrome. In: Diagnostic and Surgical Arthroscopy in the Horse. Mosby, Philadelphia. pp 388-393.
  • McIlwraith C W & Robertson J T (1998)Surgical Relief of Carpal Canal Syndrome. In: Equine Surgery - Advanced techniques. Williams & Wilkins, Baltimore. pp 179-181.


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