Strickland's hypothenar fat pad flap for revision surgery in carpal tunnel syndrome: Prospective study of 34 cases

2017 ◽  
Vol 36 (3) ◽  
pp. 202-207 ◽  
Author(s):  
L. Athlani ◽  
J.-P. Haloua
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Prospective Study ◽  
Carpal Tunnel ◽  
Revision Surgery ◽  
Fat Pad ◽  
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

scholarly journals Pedicled hypothenar fat pad flap in recalcitrant carpal tunnel syndrome

2015 ◽  
Vol 9 (S3) ◽  
Author(s):  
Christophe Mathoulin
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Fat Pad ◽  
Tunnel Syndrome ◽  
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

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

Management of Distal Traumatic Median Nerve Painful Neuromas and of Recurrent Carpal Tunnel Syndrome: Hypothenar Fat Pad Flap

2010 ◽  
Vol 35 (6) ◽  
pp. 1010-1014 ◽  
Author(s):  
Timothy Tollestrup ◽  
Carolyn Berg ◽  
David Netscher
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
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.

scholarly journals First Lumbrical Muscle Flap for Recurrence of Carpal Tunnel Syndrome: Anatomical Study and Surgical Technique

2021 ◽  
Vol 49 (01) ◽  
pp. 079-087
Author(s):  
Esther Fernández Tormos ◽  
Fernando Corella Montoya ◽  
Blanca Del Campo Cereceda ◽  
Montserrat Ocampos Hernández ◽  
Teresa Vázquez Osorio ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Revision Surgery ◽  
Muscle Flap ◽  
Anatomical Study ◽  
Physical Barrier ◽  
Adjacent Structures ◽  
Tunnel Syndrome ◽  
Lumbrical Muscle

AbstractRecurrence of carpal tunnel syndrome implies the reappearance of symptoms after release surgery. If the cause of recurrence is not an incomplete release, but a traction neuritis, the tendency is to add to the revision surgery of the carpal tunnel the use of flaps to cover the median nerve. These flaps establish a physical barrier between the nerve and the rest of the adjacent structures, preventing adhesions, and providing neovascularization and better nerve sliding.In the present work, we detail a revision surgery in which the first lumbrical muscle is used as a covering flap. This flap has two benefits. Firstly, it acts as a vascularized coverage for the median nerve (avoiding the formation of fibrosis and favoring its sliding); secondly, a structure that takes up space is removed from the carpal tunnel, thus reducing the pressure within it.Along with the explanation of the technique, the present article provides a detailed description of the anatomical variability of the first lumbrical muscle and its vascularization, as well as the results of a cadaveric study on the location of the vascular pedicle of the first lumbrical muscle.

Hand-held nerve conduction device in carpal tunnel syndrome: A prospective study

2012 ◽  
Vol 45 (5) ◽  
pp. 635-641
Author(s):  
S. Veronica Tan ◽  
Fiona Sandford ◽  
Mark Stevenson ◽  
Sara Probert ◽  
Sue Sanders ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Prospective Study ◽  
Carpal Tunnel ◽  
Nerve Conduction ◽  
Tunnel Syndrome ◽  
A Prospective Study
Sign in / Sign up

Export Citation Format

Share Document