Advertisement

Findings and Results of 80 Surgical Revisions for Carpal Tunnel Syndrome

  • S. A. Rath
  • U. M. Mauer
  • H. P. Richter
Conference paper
Part of the Advances in Neurosurgery book series (NEURO, volume 21)

Abstract

The carpal tunnel syndrome (CTS) is not only the most frequent peripheral nerve entrapment syndrome, but it also has a relatively high incidence, particularly in older women. In the face of the largely inadequate possibilities of conservative therapy, surgical treatment of CTS, which consists of decompressing the median nerve by severing the transverse carpal ligament, is a very effective method. It is a small operation which can be done under local anesthesia. However, failures of this apparently simple procedure occur. We would therefore like to present our experience with pre- and intraoperative findings as well as results of surgery for recurrent or residual CTS.

Keywords

Median Nerve Carpal Tunnel Syndrome Surgical Revision Reflex Sympathetic Dystrophy Distal Motor Latency 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Antoniadis G, Richter H-P (1988) Carpaltunnelsyndrom — Intraoperative Befunde bei 45 Nachoperationen. In: Bock WJ, Schirmer M (eds) Komplikationen bei neurochirurgischen Eingriffen. Zuckerschwerdt, Munich pp 167–169Google Scholar
  2. 2.
    Büchler U, Goth D, Haußmann P, Lanz U, Martini AK, Wulle C (1983) Karpaltunnel-syndrom: Bericht über 56 Nachoperationen. Handchir Mikrochir Plast Chir 15 Suppl:3–12Google Scholar
  3. 3.
    Conolly WB (1978) Pitfalls in carpal tunnel decompression. Aust N Z J Surg 48:421–425PubMedCrossRefGoogle Scholar
  4. 4.
    Holmgreen-Larsson H, Leszniewski W, Linden U, Rabow L, Thorling J (1985) Internal neurolysis or ligament division only in the carpal tunnel syndrome — results of a randomized study. Acta Neurochir (Wien) 74:118–121CrossRefGoogle Scholar
  5. 5.
    Hybinette C-H, Mannerfelt L (1975) The carpal tunnel syndrome — retrospective study of 400 operated patients. Acta Orthop Scand 46:610–620CrossRefGoogle Scholar
  6. 6.
    Lowry EL, Füllender AB (1988) Interfascicular neurolysis in the severe carpal tunnel syndrome. Clin Orthop 227:251–254PubMedGoogle Scholar
  7. 7.
    MacDonald RI, Lichtman DM, Hanlon JJ, Wilson JN (1978) Complications of surgical release for carpal tunnel syndrome. J Hand Surg [Am] 3:70–76Google Scholar
  8. 8.
    Phalen GS (1966) The carpal-tunnel syndrome — seventeen years’ experience in diagnosis and treatment of six hundred fifty-four hands. J Bone Surg [Am] 48:211–228Google Scholar
  9. 9.
    Richter H-P (1989) Therapeutische Möglichkeiten, Grundlagen und Richtlinien N. medianus. In: Tackmann W, Richter H-P, Stöhr M (eds) Kompressionssyndrome peripherer Nerven. Springer, Berlin Heidelberg New York, pp 66–79, 138-238Google Scholar
  10. 10.
    Yamaguchi DM, Lipscomb PR, Soule EH (1965) Carpal tunnel syndrome. Minn Med 48:22–33PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1993

Authors and Affiliations

  • S. A. Rath
    • 1
  • U. M. Mauer
    • 1
  • H. P. Richter
    • 1
  1. 1.Neurochirurgische KlinikUniversität Ulm, Bezirkskrankenhaus GünzburgGünzburgGermany

Personalised recommendations