Neuroma in Continuity
Fig. 17.1 (a) Schematic representation of the cross-section of a normal peripheral nerve showing the connective tissue and nerve tissue components. (b) The cross-section of the peripheral nerve demonstrates a…
Endoscopic Carpal Tunnel Release
Indications Contraindications Idiopathic CTS Recurrent CTS Anticoagulation Inflammatory conditions (i.e., rheumatoid arthritis, amyloidosis) Severe CTSa CTS secondary to fracture/trauma CTS carpal tunnel syndrome, CTR carpal tunnel release aBased on Sucher…
Biologics, Conduits, Allografts, and Autografts in Carpal Tunnel Syndrome
Fig. 27.1 Mild wound dehiscence following carpal tunnel release Cicatrix that has formed around the median nerve becomes problematic when it constricts the nerve or prevents the normal glide of…
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….
