scholarly journals Recurrent Carpal Tunnel Syndrome—Analysis of the Impact of Patient Personality in Altering Functional Outcome Following a Vascularised Hypothenar Fat Pad Flap Surgery

2016 ◽  
Vol 04 (01) ◽  
pp. 1-6 ◽  
Author(s):  
K. Karthik ◽  
Rajesh Nanda ◽  
John Stothard
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Functional Outcome ◽  
Carpal Tunnel ◽  
Fat Pad ◽  
Flap Surgery ◽  
Tunnel Syndrome ◽  
The Impact ◽  
Hypothenar Fat Pad Flap ◽  
Syndrome Analysis

Hypothenar fat pad flap surgery for end stage and recurrent carpal tunnel syndrome

2016 ◽  
Vol 35 (5) ◽  
pp. 348-354 ◽  
Author(s):  
T. Lattré ◽  
S. Brammer ◽  
S. Parmentier ◽  
C. Van Holder
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Fat Pad ◽  
Flap Surgery ◽  
Tunnel Syndrome ◽  
End Stage ◽  
Hypothenar Fat Pad Flap

scholarly journals Hypothenar fat pad flap vs conventional open release in primary carpal tunnel syndrome: A randomized controlled trial

2017 ◽  
Vol 8 (11) ◽  
pp. 846-852
Author(s):  
Thepparat Kanchanathepsak ◽  
Wilarat Wairojanakul ◽  
Thitiporn Phakdepiboon ◽  
Sorasak Suppaphol ◽  
Ittirat Watcharananan ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Controlled Trial ◽  
Fat Pad ◽  
Open Release ◽  
Randomized Controlled ◽  
Tunnel Syndrome ◽  
Hypothenar Fat Pad Flap

Vascularized Hypothenar Fat Pad Flap in Revision Surgery for Carpal Tunnel Syndrome

2015 ◽  
Vol 76 (06) ◽  
pp. 438-442 ◽  
Author(s):  
Thomas Mittlmeier ◽  
Philip Gierer ◽  
Markus Beck ◽  
Alice Wichelhaus
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Revision Surgery ◽  
Fat Pad ◽  
Tunnel Syndrome ◽  
Hypothenar Fat Pad Flap

The hypothenar fat pad flap for management of recalcitrant carpal tunnel syndrome

1996 ◽  
Vol 21 (5) ◽  
pp. 840-848 ◽  
Author(s):  
James W. Strickland ◽  
Richard S. Idler ◽  
Gary M. Lourie ◽  
Kevin D. Plancher
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Fat Pad ◽  
Tunnel Syndrome ◽  
Hypothenar Fat Pad Flap

scholarly journals Management of Recurrent Carpal Tunnel Syndrome with Microneurolysis and the Hypothenar Fat Pad Flap

Hand ◽  
2007 ◽  
Vol 2 (3) ◽  
pp. 85-89 ◽  
Author(s):  
Randall O. Craft ◽  
Scott F. M. Duncan ◽  
Anthony A. Smith
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Soft Tissue Coverage ◽  
Transverse Carpal Ligament ◽  
Fat Pad ◽  
Average Improvement ◽  
Patient Reported ◽  
Tunnel Syndrome ◽  
Hypothenar Fat Pad Flap

A retrospective chart review for the period between 1998 and 2006 was conducted to evaluate microneurolysis combined with a hypothenar fat pad flap (HTFPF) for patients at Mayo Clinic, Scottsdale, Arizona, who were being treated for recurrent carpal tunnel syndrome. After exclusion of patients with incomplete release of the transverse carpal ligament at the time of the original operation, 28 consecutive patients were identified. Their average age was 68.5 years (range 43–89 years). The average interval between the original carpal tunnel release and reexploration was 82 months (range 5–298 months). The average follow-up was 10.5 months (range 3–48.4 months). The preoperative two-point discrimination tests averaged 7 mm (range 5–12 mm). At surgery, all patients were found to have fibrosis surrounding the median nerve with adherence of the nerve to the radial leaf of the transverse carpal ligament. After surgery, the Tinel sign disappeared in 26 of 28 patients and two-point discrimination improved to an average of 6 mm (range 4–8 mm). Postoperative grip strength averaged 20 kg, compared with 11 kg preoperatively. Pain completely disappeared in 83% of patients (average improvement 93%, range 5–100%). Numbness completely disappeared in 42% of patients (average improvement 82.9%, range 5–100%). Tingling disappeared in 50% of patients (average improvement 84.7%, range 5–100%). No patient reported being worse after reoperation. These results suggest that the combination of microneurolysis and HTFPF can restore median nerve gliding and provide soft-tissue coverage, improving symptoms in patients with recurrent carpal tunnel syndrome.

The impact of gender on personal, health and workplace psychosocial risk factors for carpal tunnel syndrome

2013 ◽  
Vol 57 (1) ◽  
pp. 2167-2170
Author(s):  
Carisa Harris-Adamson ◽  
Ellen A Eisen ◽  
Ann Marie Dale ◽  
Bradley Evanoff ◽  
Kurt T. Hegmann ◽  
...  
Keyword(s):  
Risk Factors ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Psychosocial Risk Factors ◽  
Psychosocial Risk ◽  
Personal Health ◽  
Tunnel Syndrome ◽  
The Impact

scholarly journals The Impact of Sensory, Motor and Pain Impairments on Patient- Reported and Performance Based Function in Carpal Tunnel Syndrome

2017 ◽  
Vol 11 (1) ◽  
pp. 1258-1267 ◽  
Author(s):  
Goris Nazari ◽  
Niyati Shah ◽  
Joy C MacDermid ◽  
Linda Woodhouse
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Hand Function ◽  
Pinch Strength ◽  
Sensory Motor ◽  
Tunnel Syndrome ◽  
And Performance ◽  
Quick Dash ◽  
The Impact ◽  
Vibration Threshold

Background: Research has suggested that persistent sensory and motor impairments predominate the symptoms experienced by patients with carpal tunnel syndrome (CTS); with intermittent pain symptoms, being less predominant. Objective: The study aims to determine the relative contribution of sensory, motor and pain impairments as contributors to patient-report or performance-based hand function. Methods: Fifty participants with a diagnosis of CTS confirmed by a hand surgeon and electrodiagnosis were evaluated on a single occasion. Impairments were measured for sensibility, pain and motor performance. A staged regression analysis was performed. In the first step, variables with each of the 3 impairment categories were regressed on the Symptom Severity Scale (SSS) to identify the key variables from this domain. Models were created for both self report (Quick Disabilities of arm, shoulder and hand- Quick DASH) and performance based (Dexterity) functional outcomes. Backward regression modelling was performed for SSS and then, to allow comparability of the importance of different impairments across models, the 7 significant variables from the SSS model were forced into the models. Results: Variables: age, touch threshold and vibration threshold of the little finger of unaffected hand, median-ulnar vibration threshold ratio of affected hand, mean pain tolerance of unaffected hand, grip strength and pinch strength of affected hand, explained 31%, 36% and 63% of the variance in SSS, Quick DASH and dexterity scores, respectively. Conclusion: Hand function in patients with CTS is described by variables that reflect sensory status of the median and ulnar nerves, the persons pain threshold, grip and pinch strength impairments and age.

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