الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Carpal tunnel syndrome (CTS) is a common nerve entrapment disorder manifested by pain, paraesthesia , and ultimately muscle wasting of the hand. Appropriate treatment can interrupt the progression of this disorder and avoid the development of permanent disability. Conservative therapy may be sufficient, although many patients require surgery. Surgical treatment may involve open or endoscopic technique. The goal of either approach is to decrease pressure upon the median nerve at the wrist by dividing the transverse carpal ligament and antebrachial fascia Indications for surgery include persistent numbness and pain, motor dysfunction with diminished grip or pinch grasping, or thenar eminence flattening .Prior to contemplating surgical carpal tunnel release, one must be sure of the correct diagnosis. Surgical treatment of carpal tunnel syndrome is performed when symptoms are severe or when conservative treatment fails. Traditional open carpal tunnel release (OCTR) is the gold standard for carpal tunnel decompression. the endoscopic carpal tunnel release was introduced with the aim of reducing morbidity and expediting recovery from surgery earlier , Endoscopic carpal tunnel release has yet to be as widely adopted as open release but offers the theoretical advantages of reduced postoperative pain, faster return of grip strength, earlier return to work and return to activities of daily living, and less wound-related complications associated with open release such as scar tenderness and pillar pain in the thenar and hypothenar pain.