Surgical treatment of carpal tunnel syndrome: open release of the flexor retinaculum and hypothenar fat flap for revision surgery

Operative Orthopädie und Traumatologie
A AyacheC K Spies

Abstract

Decompression of the median nerve by complete release of the flexor retinaculum and the distal antebrachial fascia. In the case of revision surgery providing of a scar-free covering of the median nerve, if necessary. Carpal tunnel release is indicated for symptomatic patients with painful paraesthesia or neurological deficits after adequate diagnostic evaluation. The hypothenar fat flap is indicated in revision surgery if a sufficient nerve bed of the median nerve is needed and to restore nerve gliding. General operative limitations. The hypothenar fat flap is not indicated in revision surgery if median nerve irritation is not caused by surrounding scaring but other reasons like tendonitis. Proximal longitudinal incision of the palm. Subcutaneous dissection and incision of the palmar aponeurosis. Careful ulnar incision of the transverse carpal ligament. Considerate release of the distal and proximal parts of the retinaculum as well as the distal part of the antebrachial fascia. Exploration of the median nerve and palpation of the carpal tunnel and resection of compressive structures, if necessary. In case of revision surgery, if required, the hypothenar fat flap is raised. The fat flap is transposed without tension palmar to th...Continue Reading

References

Jul 1, 1991·The Journal of Hand Surgery·A B Grundberg, D S Reagan
May 1, 1984·The Journal of Hand Surgery·A L Dellon, S E Mackinnon
Jan 1, 1984·Journal of Neurology·G MühlauH Kunath
Jan 1, 1994·The Journal of Hand Surgery·G S Bromley
Aug 1, 1993·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·W F HauptG Pawlik
Sep 1, 1996·The Journal of Hand Surgery·J W StricklandK D Plancher
Apr 6, 1999·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·M E Boeckstyns, A I Sørensen
Jul 20, 1999·JAMA : the Journal of the American Medical Association·I AtroshiI Rosén
Jun 8, 2001·Plastic and Reconstructive Surgery·T H Tung, S E Mackinnon
Jun 22, 2002·The Cochrane Database of Systematic Reviews·R J VerdugoJ G Cea
Jul 13, 2002·Muscle & Nerve·UNKNOWN American Association of Electrodiagnostic Medicine, American Academy of Neurology, and American Academy of Physical Medicine
Jan 10, 2003·The Cochrane Database of Systematic Reviews·R J P M ScholtenL M Bouter
Aug 15, 2003·The Cochrane Database of Systematic Reviews·R J VerdugoJ G Cea
Aug 20, 2003·Neurosurgery·Fabio RealeMauro Mondelli
Sep 1, 2005·Der Nervenarzt·F UnglaubP Hahn
Nov 1, 2005·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·N StützU Lanz
Apr 13, 2006·Techniques in Hand & Upper Extremity Surgery·J R Urbaniak, P R Rowan
Nov 23, 2006·Arquivos de neuro-psiquiatria·Roberto S MartinsHougelli Simplício
Jul 31, 2007·Advances in Therapy·Oguz CebesoyMehmet Demirtas
Aug 29, 2007·Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut·H AssmusM Wüstner-Hofmann
Sep 10, 2008·Hand : Official Journal of the American Association for Hand Surgery·Randall O CraftAnthony A Smith
Oct 7, 2009·Hand : Official Journal of the American Association for Hand Surgery·Anand P Panchal, Marc A Trzeciak
Apr 22, 2018·Operative Orthopädie und Traumatologie·P KaiserG Schmidle
May 20, 2019·Clinics in Plastic Surgery·Ellen Y Lee, Aymeric Y T Lim
Jul 14, 2019·The Journal of Hand Surgery·Dafang ZhangPhilip Blazar
Aug 23, 2019·The Journal of Hand Surgery, European Volume·Samuel P MackenzieJane E McEachan

❮ Previous
Next ❯

Citations

Aug 29, 2020·Der Orthopäde·A AyacheC K Spies

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Techniques in Hand & Upper Extremity Surgery
J R Urbaniak, P R Rowan
Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand
Christophe MathoulinS Roukoz
Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut
U FrankU Lanz
© 2022 Meta ULC. All rights reserved