Contents:

Anatomy of the Median Nerve Anatomic Variations and Anomalies

History of Carpal Tunnel Syndrome

Pathophysiology of Carpal Tunnel Syndrome

Clinical Presentations and Diagnosis

Differential Diagnosis of Carpal Tunnel Syndrome

CTS Associated or Caused by Other Medical Conditions

Interpretation of Electromyography and Nerve Conduction Studies

Imaging of the Carpal Tunnel and Median Nerve

Treatment of Median Nerve Transection

Diagnosis of True Recurrent Carpal Tunnel Syndrome

Use of Reverse Radial Forearm Fascial Flap for Median Nerve Coverage

Vein Wrapping for Recurrent Carpal Tunnel Syndrome

Synovial Wrap in Revision Carpal Tunnel Surgery

The Use of Microneurolysis

Reconstruction of the Flexor Retinaculum

Biomechanical Effects of Transverse Carpal Ligament Release

Severity Scoring Systems for Carpal Tunnel Syndrome and Outcome Tools

Unusual Causes of Carpal Tunnel Syndrome

Nonoperative Options for the Management of Carpal Tunnel Syndrome

Open Techniques for Carpal Tunnel Release

Endoscopic Carpal Tunnel Release

Challenges and Complications of Carpal Tunnel Syndrome

Recurrent Carpal Tunnel Syndrome

Revision Carpal Tunnel Surgery Options

Neuroma in Continuity

Carpal Tunnel Syndrome After Fractures and Other Trauma

Biologics Conduits Allografts and Autografts in Carpal Tunnel Syndrome

Median Compressive Neuropathy Proximal to the Carpal Tunnel

Median Nerve Tumors

Electrical Nerve Stimulation for Chronic Median Nerve Pain

Complex Regional Pain Syndrome and Carpal Tunnel Surgery

The Indications and Importance of Obtaining Electrical Studies

Index

Carpal Tunnel Syndrome and Related Median Neuropathies: Challenges and Complications

Practical and user-friendly, this text provides the orthopedic and hand surgeon with all the essential information for diagnosing and treating carpal tunnel syndrome (CTS) and other median neuropathies of the hand and wrist, with special emphasis on challenges and complications. Organized to allow for easy searching of specific subject matter, opening chapters discuss anatomy of the median nerve, history and pathophysiology of CTS, clinical presentation and diagnosis, including imaging, and severity scoring. Presentation of various treatment strategies follows, both non-operative and surgical, including open and endoscopic techniques and revision surgery, incomplete release, transection, use of the reverse radial forearm flap, vein wrap, synovial wrap, and microneurolysis. Other median neuropathies are discussed as well, including neuromas and stimulation for chronic median nerve pain.

Generously illustrated, Carpal Tunnel Syndrome and Related Median Neuropathies is a valuable resource for orthopedic and hand surgeons on the evaluation and treatment of complications and complexities arising from carpal tunnel syndrome and surgery. Common terms and phrases:


allograft anatomical artery assessment axon Bone Joint Surg carpal canal carpal tun carpal tunnel release carpal tunnel surgery carpal tunnel syn carpal tunnel syndrome cause Clin clinical decompression diabetes distal distal radius fracture drome endoscopic epineurium evaluation fascia fascicles fibers fibrosis finger flexor digitorum flexor retinaculum flexor tendons forearm fracture function grip strength Hand Surg improvement incision increased injection latency lesions median nerve Median Neuropathies motor branch muscle nerve conduction nerve conduction studies nerve injury nerve repair neurolysis numbness open carpal tunnel Orthop outcomes pain pal tunnel paresthesias peripheral nerve Plast Reconstr Surg postoperative preoperative pronator proximal radial recurrent carpal tunnel reported revision carpal tunnel scar sensory splinting studies surgeons surgical suture synovial flap technique tenosynovitis thenar thenar muscles Tinel’s tion tissue transverse carpal ligament trauma treatment tumor ulnar nerve ultrasound upper extremity vascular vein graft vein wrapping volar webspace wrist