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Revision Carpal Tunnel Surgical Options

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Compressive Neuropathies of the Upper Extremity

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Abstract

Recurrent carpal tunnel syndrome is an infrequent occurrence. It is characterized by a period of relief following the index procedure. Recurrence typically occurs 7–10 years after the initial surgery. The history of symptoms is the best diagnostic tool, however there is value in documenting the response to provocative maneuvers, either two-point discrimination or Semmes-Weinstein monofilament testing and nerve conduction studies.

Treatment ranges from repeat release alone to release with some sort of coverage. Surgical treatment typically results in an improvement in symptoms, however some residual median nerve dysfunction is common.

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Author information

Authors and Affiliations

  1. University of Pittsburgh Physicians, University of Pittsburgh Medical Center (UPMC) Passavant, Pittsburgh, PA, USA

    Travis Littleton

  2. Department of Community Medicine, University of Pittsburgh Medical Center (UPMC) Passavant, Pittsburgh, PA, USA

    Cassidy Costello

  3. Department of Orthopaedic Specialists, University of Pittsburgh Medical Center (UPMC) Passavant, Pittsburgh, PA, USA

    Mark Baratz

Authors
  1. Travis Littleton
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  2. Cassidy Costello
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  3. Mark Baratz
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Corresponding author

Correspondence to Mark Baratz .

Editor information

Editors and Affiliations

  1. Orthopaedic Specialists - UPMC, University of Pittsburgh, Pittsburgh, PA, USA

    Dean G. Sotereanos

  2. Orthopaedic Specialists - UPMC, University of Pittsburgh, Pittsburgh, PA, USA

    Loukia K. Papatheodorou

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Littleton, T., Costello, C., Baratz, M. (2020). Revision Carpal Tunnel Surgical Options. In: Sotereanos, D., Papatheodorou, L. (eds) Compressive Neuropathies of the Upper Extremity. Springer, Cham. https://doi.org/10.1007/978-3-030-37289-7_8

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  • DOI: https://doi.org/10.1007/978-3-030-37289-7_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-37288-0

  • Online ISBN: 978-3-030-37289-7

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