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Updated: Jan 22, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
Evaluation and Management of Unsuccessful Carpal Tunnel Release
Dafang Zhang1, Brandon E Earp1, Philip Blazar1
1Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, MA; Harvard Medical School, Boston, MA.
Abstract:
Carpal tunnel release (CTR) is a routine and effective surgical treatment for carpal tunnel syndrome. Dissatisfied patients after CTR are uncommon but present diagnostic and therapeutic challenges. This article discusses the most common reasons for unsuccessful CTR, the appropriate ensuing workup, and current evidence regarding revision surgery. The authors' preferred treatment algorithm for the surgical management of the unsuccessful CTR is presented.
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