“…Therefore one can define experience with ECTR as having performed greater than 100 releases. However, the open methods require less skill in the use of tools and techniques, therefore, less dependent on experience to minimize complications [2–5,7,9,11–13,16,17,21,22,24–26,31,34,40,42]. The endoscopic approach, regardless of technique, has been associated with a steeper learning curve, higher complication rate, and higher rate of incomplete release when compared to the standard open carpal tunnel approach [3,5,7,9,11,13].…”