Reverse radial artery fascial flap: A treatment for the chronically scarred median nerve in recurrent carpal tunnel syndrome
Six patients underwent re-exploration of the carpal tunnel for symptoms of recurrent median nerve compression. All patients had previousl undergone two or more decompressions. Operative findings revealed evidence of chronic scarring of the median nerve with flattening and perineural fibrosis. Follow...
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| Veröffentlicht in: | The Journal of hand surgery (American ed.) 1996-09, Vol.21 (5), p.849-854 |
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| container_title | The Journal of hand surgery (American ed.) |
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| creator | Tham, Stephen K.Y. Ireland, Damian C.R. Riccio, Michele Morrison, Wayne A. |
| description | Six patients underwent re-exploration of the carpal tunnel for symptoms of recurrent median nerve compression. All patients had previousl undergone two or more decompressions. Operative findings revealed evidence of chronic scarring of the median nerve with flattening and perineural fibrosis. Following decompression together with neurolysis and tenosynovectomy, a vascularized fascial flap pedicled distally on the radial artery was used to envelop the median nerve. Follow-up studies of between 12 and 61 months (mean, 25 months) showed improvement of symptoms in all patients, with 2 patients describing complete relief of pain and paresthesia and 4 patients describing mild intermittent pain or paresthesia. |
| doi_str_mv | 10.1016/S0363-5023(96)80202-4 |
| format | Article |
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All patients had previousl undergone two or more decompressions. Operative findings revealed evidence of chronic scarring of the median nerve with flattening and perineural fibrosis. Following decompression together with neurolysis and tenosynovectomy, a vascularized fascial flap pedicled distally on the radial artery was used to envelop the median nerve. Follow-up studies of between 12 and 61 months (mean, 25 months) showed improvement of symptoms in all patients, with 2 patients describing complete relief of pain and paresthesia and 4 patients describing mild intermittent pain or paresthesia.</description><identifier>ISSN: 0363-5023</identifier><identifier>EISSN: 1531-6564</identifier><identifier>DOI: 10.1016/S0363-5023(96)80202-4</identifier><identifier>PMID: 8891984</identifier><identifier>CODEN: JHSUDV</identifier><language>eng</language><publisher>New york, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Carpal Tunnel Syndrome - surgery ; Cranial nerves. 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All patients had previousl undergone two or more decompressions. Operative findings revealed evidence of chronic scarring of the median nerve with flattening and perineural fibrosis. Following decompression together with neurolysis and tenosynovectomy, a vascularized fascial flap pedicled distally on the radial artery was used to envelop the median nerve. Follow-up studies of between 12 and 61 months (mean, 25 months) showed improvement of symptoms in all patients, with 2 patients describing complete relief of pain and paresthesia and 4 patients describing mild intermittent pain or paresthesia.</description><subject>Biological and medical sciences</subject><subject>Carpal Tunnel Syndrome - surgery</subject><subject>Cranial nerves. Peripheral nerves. Autonomic nervous system</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Median Nerve - surgery</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>Recurrence</subject><subject>Reoperation</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Peripheral nerves. Autonomic nervous system</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Median Nerve - surgery</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurosurgery</topic><topic>Recurrence</topic><topic>Reoperation</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgical Flaps - methods</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tham, Stephen K.Y.</creatorcontrib><creatorcontrib>Ireland, Damian C.R.</creatorcontrib><creatorcontrib>Riccio, Michele</creatorcontrib><creatorcontrib>Morrison, Wayne A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery (American ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tham, Stephen K.Y.</au><au>Ireland, Damian C.R.</au><au>Riccio, Michele</au><au>Morrison, Wayne A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reverse radial artery fascial flap: A treatment for the chronically scarred median nerve in recurrent carpal tunnel syndrome</atitle><jtitle>The Journal of hand surgery (American ed.)</jtitle><addtitle>J Hand Surg Am</addtitle><date>1996-09-01</date><risdate>1996</risdate><volume>21</volume><issue>5</issue><spage>849</spage><epage>854</epage><pages>849-854</pages><issn>0363-5023</issn><eissn>1531-6564</eissn><coden>JHSUDV</coden><abstract>Six patients underwent re-exploration of the carpal tunnel for symptoms of recurrent median nerve compression. All patients had previousl undergone two or more decompressions. Operative findings revealed evidence of chronic scarring of the median nerve with flattening and perineural fibrosis. Following decompression together with neurolysis and tenosynovectomy, a vascularized fascial flap pedicled distally on the radial artery was used to envelop the median nerve. Follow-up studies of between 12 and 61 months (mean, 25 months) showed improvement of symptoms in all patients, with 2 patients describing complete relief of pain and paresthesia and 4 patients describing mild intermittent pain or paresthesia.</abstract><cop>New york, NY</cop><pub>Elsevier Inc</pub><pmid>8891984</pmid><doi>10.1016/S0363-5023(96)80202-4</doi><tpages>6</tpages></addata></record> |
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| ispartof | The Journal of hand surgery (American ed.), 1996-09, Vol.21 (5), p.849-854 |
| issn | 0363-5023 1531-6564 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Biological and medical sciences Carpal Tunnel Syndrome - surgery Cranial nerves. Peripheral nerves. Autonomic nervous system Female Follow-Up Studies Humans Male Median Nerve - surgery Medical sciences Middle Aged Neurosurgery Recurrence Reoperation Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgical Flaps - methods Time Factors Treatment Outcome |
| title | Reverse radial artery fascial flap: A treatment for the chronically scarred median nerve in recurrent carpal tunnel syndrome |
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