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Carpal tunnel syndrome (CTS) is the most common hand
disease. The clinical prevalence in the general popula-
tion is 3.8%. From a study of Australian population, peo-
ple younger than 25 had a 2.4% prevalence compared to an ex- tremely high prevalence in 45 to 65 year-olds who had a 45.5% prevalence.2 In all carpal tunnel syndrome cases, in patients who developed numbness, and experienced symptoms for more than 6 months or did not receive adequate conservative treatment needed further treatment of surgery (Figure 1). The incidence of surgery is high: up to 31% to 40% of patients with carpal tunnel syndrome.3,4 If the patients had severe compression and develop thenar muscle atrophy, the treatment has to be performed and ur- gent decompression is necessary to enable potential full recovery.5 Because carpal tunnel syndrome is the most common hand disease with the highest functional recovery of treatments, patients need to know and look for an update on treatment information. Nowa- days, surgical treatment had been in continuous development in terms of minimal invasive surgery. There has been a great para- digm shift from standard large open surgery to minimal invasive surgery based on patients benet and recovery. Also CTS is one of the benecial changes with the concept of minimal incision because of minimal dissection of highly sensitive numerous nerve areas, minimal trauma, rapid recovery and less complications.
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