Centerline™ Endoscopic Carpal Tunnel Release Technique

The surgeon introduces the device into the carpal tunnel through a single limited incision in the wrist flexor crease. Viewing the deep side of the transverse carpal ligament (flexor retinaculum) under direct visualization at the tip of the instrument, the surgeon elevates the blade to cut the ligament as the instrument is withdrawn.The Centerline technique incorporates improved safety features compared to other ECTR devices that have been used for over 20 years and eliminates rotational movements while offering superior visualization. The thumb trigger pull is synergistic, increasing steadiness and facilitating control. The Centerline endoscopic carpal tunnel release system attaches to a standard video camera and light source.

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The surgeon introduces the device into the carpal tunnel through a single limited incision in the wrist flexor crease. Viewing the deep side of the transverse carpal ligament (flexor retinaculum) under direct visualization at the tip of the instrument, the surgeon elevates the blade to cut the ligament as the instrument is withdrawn.The Centerline technique incorporates improved safety features compared to other ECTR devices that have been used for over 20 years and eliminates rotational movements while offering superior visualization. The thumb trigger pull is synergistic, increasing steadiness and facilitating control. The Centerline endoscopic carpal tunnel release system attaches to a standard video camera and light source.

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Educational Resources and Products

Centerline™ Endoscopic Carpal Tunnel Release

Dennis Sagini, MD
Surgical Technique Videos | 05:36 | English | 11/07/2019 | VID1-000631-en-US A

Centerline™ Endoscopic Carpal Tunnel Release

Raymond Wurapa, MD
Surgical Technique Videos | 09:03 | English | 03/05/2019 | VID1-000121-en-US A
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Surgical Technique Videos (3)

NanoScopic™ Carpal Tunnel Release System
NanoScopic™ Carpal Tunnel Release System
Steven S. Shin, MD
07:13 | English | 08/23/2023 | VID1-004125-en-US A
Centerline™ Endoscopic Carpal Tunnel Release
Centerline™ Endoscopic Carpal Tunnel Release
Dennis Sagini, MD
05:36 | English | 11/07/2019 | VID1-000631-en-US A
Centerline™ Endoscopic Carpal Tunnel Release
Centerline™ Endoscopic Carpal Tunnel Release
Raymond Wurapa, MD
09:03 | English | 03/05/2019 | VID1-000121-en-US A

Surgical Technique Guides (3)


Brochures (2)

NanoScopic Carpal Tunnel Release System
NanoScopic Carpal Tunnel Release System
English | 09/20/2023 | pLB1-000451-en-US B
When You Treat Hand and Wrist... Think Arthrex
When You Treat Hand and Wrist... Think Arthrex
English | 10/08/2021 | FL1-00067-EN B

Catalogs (1)


Patient Education Animations (4)


Patient Education Literature (1)

Carpal Tunnel Syndrome (CTS)
Carpal Tunnel Syndrome (CTS)
English | 05/24/2017 | LPG1-0412-EN B

Surgeon Newsletters (1)

Scope This Out - Volume 24, Number 1
Scope This Out - Volume 24, Number 1
English | 02/22/2023 | LN1-000486-en-US A
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