Factors that determine reexploration treatment of carpal tunnel syndrome

Eighteen patients (20 hands) underwent reexploration of the carpal tunnel after a primary carpal tunnel release. The patients complained of unrelieved symptoms after their initial surgical procedures. We recommend reexploration for patients with unrelieved carpal tunnel syndrome if they have a posit...

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Bibliographic Details
Published inThe Journal of hand surgery (American ed.) Vol. 17; no. 4; p. 638
Main Authors O'Malley, M J, Evanoff, M, Terrono, A L, Millender, L H
Format Journal Article
LanguageEnglish
Published United States 01.07.1992
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Summary:Eighteen patients (20 hands) underwent reexploration of the carpal tunnel after a primary carpal tunnel release. The patients complained of unrelieved symptoms after their initial surgical procedures. We recommend reexploration for patients with unrelieved carpal tunnel syndrome if they have a positive Phalen's test, have symptoms that cause nocturnal wakening or are exacerbated by activities, or have a short or transverse initial incision. If the incision is adequate and these symptoms are not present, we believe that reexploration will not result in a satisfactory outcome.
ISSN:0363-5023
DOI:10.1016/0363-5023(92)90307-B