ISSN 2398-2977      

Palmar carpal retinaculum: section

pequis

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

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Preparation

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Procedure

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Immediate aftercare

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Sequelae

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • MacKay-Smith M P, Cushing L S & Leslie J A (1972) Carpal canal syndrome in horses. JAVMA 160, 993-997 PubMed.

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, USA. pp 388-393.
  • McIlwraith C W & Robertson J T (1998) Surgical Relief of Carpal Canal Syndrome. In: Equine Surgery - Advanced techniques. Williams & Wilkins, USA. pp 179-181.

Can’t find what you’re looking for?

We have an ever growing content library on Vetlexicon so if you ever find we haven't covered something that you need please fill in the form below and let us know!