Median Nerve Tumors
Fig. 29.1 (a) T2 coronal MRI showing high intensity mass in distal forearm (Schwannoma). (b) T1 sagittal MRI showing a medium intensity mass in distal forearm (schwannoma) Fig. 29.2 (a)…
Open Techniques for Carpal Tunnel Release
Fig. 12.1 Anatomy of carpal tunnel Prior to entering the carpal tunnel, the median nerve gives off its palmar cutaneous branch . The palmar cutaneous branch of the median nerve…
Unusual Causes of Carpal Tunnel Syndrome
Fig. 10.1 (a–j) Foreign body reaction A 45-year-old female with a history of Hodgkin’s disease and long-standing carpal tunnel symptoms presented to the emergency department with acutely worsening, severe right…
Synovial Wrap in Revision Carpal Tunnel Surgery
Fig. 22.1 Intraoperative computed tomography (CT) angiogram at the level of the pisiformis after performing external neurolysis of the median nerve (Artis Zeego, Siemens AG, Germany). The direct branch of…
Clinical Presentations and Diagnosis
Cervicalgia Cervical spine compression Herniated cervical disk Cervical root compression Herniated cervical disk Brachial plexopathy Thoracic outlet syndrome Humeral level nerve compression Parsonage turner syndrome Cubital tunnel syndrome Elbow tendonitis…
Vein Wrapping for Recurrent Carpal Tunnel Syndrome
Fig. 21.1 The median nerve has been exposed at the wrist. Note the excessive cicatrix (black arrows) around the median nerve The greater saphenous vein graft is harvested from the…
Interpretation of Electromyography and Nerve Conduction Studies
Summary of Findings: 1. Left median motor study to APB has markedly prolonged distal onset latency, normal compound muscle action potential (CMAP) , and normal conduction velocity in the forearm….
Challenges and Complications of Carpal Tunnel Syndrome
Fig. 14.1 (a, b) The initial surgical incision for carpal tunnel release in this patient was placed very distally (outlined by pickups) (a). Initial carpal tunnel release led to worsening…
Use of Reverse Radial Forearm Fascial Flap for Median Nerve Coverage
Fig. 20.1 Outline of radial artery and the perforators as identified by ultrasound For revision carpal tunnel cases, the incision will begin at the site of the previous scar. Perform…
Revision Carpal Tunnel Surgery Options
Symptoms Examination Etiology Treatment options Recurrent CTS Numbness completely resolved then recurs Findings range from normal to (+) Tinel’s, Phalen’s, carpal compression test, or expanded two-point discrimination Most common:…
