Compression Neuropathies: Revisions and Managing Expectations.

Hand Clin · Aug 2023 · Review

Saffari TM, Moore AM, Schmucker RW

Department of Plastic and Reconstructive Surgery, The Ohio State University Columbus, OH

Hand & Upper Extremity

SUMMARY — THE REDUCTIONAbout 25% of compression neuropathy decompressions fail; accurate diagnosis of persistent, recurrent, or new symptoms guides revision surgery, with principles outlined for secondary carpal and cubital tunnel syndrome.
Abstract, as published

Most compression neuropathies can be reliably treated with surgical decompression; however, in approximately 25% of the cases, this release fails, requiring revision surgery. Defining the correct diagnosis after a failed nerve decompression (ie, persistent, recurrent, or new symptoms) is of the utmost importance and guides toward the optimal treatment. This article describes the clinical categorization of secondary carpal tunnel syndrome and cubital tunnel syndrome, intraoperative principles of revision surgery and treatment options that are currently available.

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