Failure to resolve symptoms of carpal tunnel syndrome following a release of the flexor retinaculum can occur for a number of reasons. Failed carpal tunnel can be classified into three categories and include (1) persistent symptoms, (2) recurrent symptoms, and (3) new symptoms. Persistent symptoms of median nerve dysfunction can imply an incomplete release and/or […]
Disclosure: No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication. Complications following carpal tunnel release are uncommon with patients experiencing persistent, recurrent, or new symptoms in the post-operative period. There are multiple etiologies for recurrent carpal tunnel syndrome, which can include traction neuropathy. This […]
Carpal tunnel syndrome is a compression neuropathy of the median nerve as it travels through the carpal tunnel deep to the transverse carpal ligament. This causes paresthesia and pain in the territory of the median nerve and weakness of the thenar muscles depending on the severity of the neuropathy. Paresthesia is most typically in the […]
Tarsal tunnel syndrome describes the compression of the tibial nerve through the tarsal tunnel which results in pain and numbness in the plantar aspect of the foot. The tibial nerve has three major branches which include the calcaneal, medial plantar, and lateral plantar nerve branches. There are two primary structures responsible for compression of the […]
A carpal tunnel release is performed by decompressing the median nerve in the wrist through the carpal tunnel. This procedure involves transecting the transverse carpal ligament. Standard: POSITION Supine. INCISION An incision is made ulnar to the thenar crease between the palmar sensory territories of the median and ulnar nerve. In addition, this approach allows […]
The ulnar nerve is decompressed in the wrist through Guyon’s canal and in the hand, specifically the deep motor branch of the ulnar nerve. This deep motor branch is released by dividing the tendious arch of the hypothenar muscles. In addition, a carpal tunnel release is performed by transecting the transverse carpal ligament. Standard: Extended: […]