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Recurrent Carpal Tunnel Syndrome

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Carpal Tunnel Syndrome and Related Median Neuropathies

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Abstract

Carpal tunnel syndrome is the most common peripheral nerve compression syndrome. Surgical carpal tunnel release usually offers excellent clinical outcomes. However, in 3–19% of patients, recurrent carpal tunnel symptoms occur. This challenging subset of patients often experiences poor results even after revision surgery, with 40% of patients reporting unfavorable results and 95% with persistent symptoms. In this chapter, we explore the common etiologies of recurrent carpal tunnel syndrome and offer clinical assessment strategies for management. Surgical options for revision carpal tunnel surgery including revision transverse carpal ligament release, neurolysis, and interposition grafting are reviewed.

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Authors and Affiliations

  1. Department of Orthopedics, University of Arizona College of Medicine-Phoenix, 320 N. 10th St., Suite A, Phoenix, AZ, USA

    Scott G. Edwards & Joshua W. Hustedt

  2. Center for Orthopedic Research and Education, Phoenix, AZ, USA

    Scott G. Edwards

Authors
  1. Scott G. Edwards
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  2. Joshua W. Hustedt
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Corresponding author

Correspondence to Scott G. Edwards .

Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Boston University/Boston Medical Center, Boston, Massachusetts, USA

    Scott F. M. Duncan

  2. Department of Orthopaedic Surgery, Kindai University Hospital, Osaka, Japan

    Ryosuke Kakinoki

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Edwards, S.G., Hustedt, J.W. (2017). Recurrent Carpal Tunnel Syndrome. In: Duncan, S., Kakinoki, R. (eds) Carpal Tunnel Syndrome and Related Median Neuropathies. Springer, Cham. https://doi.org/10.1007/978-3-319-57010-5_15

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  • DOI: https://doi.org/10.1007/978-3-319-57010-5_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-57008-2

  • Online ISBN: 978-3-319-57010-5

  • eBook Packages: MedicineMedicine (R0)

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