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Updated: Mar 15, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
[Principal causes for recurrent carpal tunnel syndrome]
M F Vázquez-Alonso1, C Abdala-Dergal1
1Unidad Médica de Alta Especialidad, Hospital de Traumatología y Ortopedia «Lomas Verdes», Instituto Mexicano del Seguro Social (IMSS). Av. Lomas Verdes 52, Santa Cruz Acatlan, 53150 Naucalpan de Juárez, México.
Abstract:
The frequent causes of relapsing carpal tunnel syndrome were analyzed. Nine patients were followed-up from January 1st to December 31st, 2011. They underwent a physical exam and imaging tests. Pain was measured in all of them with the VAS, and the Brigham and Womens Hospital questionnaire was used to assess disability. Patients included seven females and two males; mean age was 52 years. Major causes for relapse included postoperative fibrosis with incomplete release in seven patients and incomplete release in two patients in whom minimally invasive approaches were used. Three of the nine patients had retractile scars. The main cause of relapse was postoperative fibrosis associated with the minima-lly invasive approach.
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