State of the art review. Upper extremity revision nerve compression surgery.

J Hand Surg Eur Vol · Jun 2024 · Review

van der Heijden B, Dailiana ZH, Giele HP

Department of Plastic, Reconstructive and Hand Surgery, John Radcliffe Hospital, UK

Hand & Upper Extremity

SUMMARY — THE REDUCTIONThis review outlines diagnostic workup and surgical strategies for revision surgery when carpal tunnel, cubital tunnel, or thoracic outlet decompression fails or symptoms recur.
Abstract, as published

Although surgical release of upper extremity nerve compression syndromes is highly effective, persistence or recurrence of symptoms and signs may occur. Thorough investigation is necessary in this situation before treatment is recommended. If the symptoms cannot be explained by other pathology than compression of the affected nerve and if conservative management has not provided improvement, reoperation may be considered. This review provides an overview of the diagnostic and surgical considerations in the revision of carpal tunnel syndrome, cubital tunnel syndrome and thoracic outlet syndrome.Level of evidence: V.

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