Related Experiment Video
Updated: Aug 12, 2026
06:40
Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies
Published on: January 11, 2019
Recurrent carpal tunnel syndrome: treatment options
M F Pizzillo1, D G Sotereanos, M M Tomaino
1Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, PA 15213-3221, USA.
Journal of the Southern Orthopaedic Association
|July 23, 2002
Summary
For recurrent nerve entrapment, surgeons can choose from local flaps, vein wrapping, or complex tissue transfers. Sophisticated techniques offer better tissue availability for improved outcomes in localized nerve conditions.
Area of Science:
- Reconstructive surgery
- Peripheral nerve surgery
Background:
- Recurrent nerve entrapment/traction neuritis presents surgical challenges.
- Various techniques exist, each with specific advantages and limitations.
Purpose of the Study:
- To review and compare available surgical techniques for recurrent nerve entrapment.
- To guide surgeons in selecting appropriate methods based on patient presentation.
Main Methods:
- Review of surgical techniques including local muscle/fat flaps (e.g., ADQ, pronator quadratus, hypothenar fat flap), circumferential vein wrapping, pedicled flaps, and free tissue transfer.
- Discussion of the benefits and drawbacks of each method regarding tissue availability, size, vascularity, and complexity.
Main Results:
- Local flaps offer ease of elevation but limited size.
- Vein wrapping is effective but may be restricted to short nerve segments.
- Pedicled flaps and free tissue transfers provide greater tissue availability and vascularity, despite increased complexity.
Conclusions:
- Complex flap transfers are attractive for their tissue characteristics.
- These sophisticated techniques should be considered when simpler methods are unsuitable or have failed for localized neuritis.
Related Concept Videos
01:17Pericarditis III: Medical Management
The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
01:27Peripheral Artery Disease III: Interprofessional Care
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...