title: Factors that determine reexploration treatment of carpal tunnel syndrome.
abstract: 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.
authors.affiliation: New England Baptist Hospital, Tufts University Department of Orthopedics, Boston, MA 02120.
authors.forename: M J
authors.initials: MJ
authors.lastname: O'Malley
authors.forename: M
authors.initials: M
authors.lastname: Evanoff
authors.forename: A L
authors.initials: AL
authors.lastname: Terrono
authors.forename: L H
authors.initials: LH
authors.lastname: Millender
mesh_terms: D000328:Adult; D000368:Aged; D002349:Carpal Tunnel Syndrome / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome