Combined hypothenar fat pad flap and delayed neurorrhaphy for transected thenar branch during carpal tunnel release

Pedicled hypothenar fat pad flap in recalcitrant carpal tunnel syndrome

Hypothenar fat pad flap vs conventional open release in primary carpal tunnel syndrome: A randomized controlled trial

AIM To compared outcomes between the hypothenar fat pad flap (HTFPF) and conventional open carpal tunnel release (COR) in primary carpal tunnel syndrome (CTS). METHODS Forty-five patients (49 hands) were enrolled into the study from January 2014 to March 2016, 8 patients were excluded. Randomization was conducted in 37 patients (41 hands) by computer generated (Block of four randomization) in...

Delayed Improvement after Endoscopic Carpal Tunnel Release

OBJECTIVE In most patients with carpal tunnel syndrome (CTS), pain and/or paresthesia disappeared or decreased in a month after endoscopic carpal tunnel release (ECTR). However, subpopulation of patients showed delayed improvement following ECTR. We analyzed the delayed improvement hands to investigate the characteristics of those patients and to determine the predictable factors of delayed imp...

Autologous Fat Transfer in Secondary Carpal Tunnel Release

BACKGROUND Carpal tunnel release is the gold standard for the treatment of median nerve compression disease. Recurrent or persistent symptoms do not occur in most patients, although a small number of them have indicated that such a postoperative condition indeed exists. Some patients undergo repeated treatments. In the majority of the cases, the disease is associated with scarring in the carpal...

Evaluation of thenar muscles by MRI in carpal tunnel syndrome

In the present study, the thenar muscles were evaluated using magnetic resonance imaging (MRI), in addition, the correlations between thenar muscle changes, clinical findings and electrodiagnostic results from patients with carpal tunnel syndrome were investigated. The subjects were 13 patients (17 wrists) who were clinically diagnosed with carpal tunnel syndrome. In all patients, a medical his...