title: Surgical management of recurrent carpal tunnel syndrome.
abstract: An approach to the surgical management of recurrent carpal tunnel syndrome was evaluated in 30 patients with 35 involved wrists. This includes internal neurolysis of the median nerve and early post-operative mobilization of the wrist and fingers. The preferred surgical approach is through a second, more ulnar incision. Clinical assessment of sensorimotor function was converted into a numerical score ranging from zero (normal) to 9 (anaesthesia) and 10 (atrophy, severe). The average pre-operative score was mean 6.5 and median 7. At a mean follow-up of 23.5 months, the average post-operative score was mean 1.8 and median 0, a statistically significant improvement (P < 0.001).
authors.affiliation: Division of Plastic Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
authors.forename: B
authors.initials: B
authors.lastname: Chang
authors.forename: A L
authors.initials: AL
authors.lastname: Dellon
mesh_terms: D000328:Adult; D000368:Aged; D002349:Carpal Tunnel Syndrome / Q000601:surgery*; D002921:Cicatrix / Q000601:surgery; D005260:Female; D006801:Humans; D008023:Ligaments, Articular / Q000601:surgery; D008297:Male; D008475:Median Nerve / Q000601:surgery; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation