Document Detail

Palmaris brevis turnover flap as an adjunct to internal neurolysis of the chronically scarred median nerve in recurrent carpal tunnel syndrome.
MedLine Citation:
PMID:  2022825     Owner:  NLM     Status:  MEDLINE    
Thirteen hands in 11 patients with previous carpal tunnel releases were treated by microscopic internal neurolysis and palmaris brevis "turnover" flaps. All patients in the series had positive electrodiagnostic testing, dysesthetic wrist pain, and numbness in the median nerve distribution before operation. Average age was 41.9 years (range, 27 to 62 years). Ten were male and 3 were female. Range of follow-up after the procedure was from 1 to 1 1/2 years. All hands with abnormal preoperative two-point discriminations or Semmes-Weinstein measurements showed numerical improvement in their sensory parameters. Thenar strength and bulk improved at least one grade in all six cases of thenar atrophy. Mean grip strength was 15.2% greater than before operation. Key pinch increased 5.5% and pulp pinch 31.9%. Subjective assessment of improvement ranged from 25% to 100%. All patients returned to their former jobs or to vocational retaining except the oldest patient who is semiretired.
E H Rose; M S Norris; T A Kowalski; A Lucas; E J Flegler
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  16     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  1991 Mar 
Date Detail:
Created Date:  1991-06-06     Completed Date:  1991-06-06     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  191-201     Citation Subset:  IM    
Division of Plastic and Reconstructive Surgery, Mount Sinai School of Medicine, New York, N.Y.
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MeSH Terms
Carpal Tunnel Syndrome / surgery*
Cicatrix / surgery
Median Nerve / surgery*
Surgical Flaps / methods*
Comment In:
J Hand Surg Am. 1992 Mar;17(2):381   [PMID:  1564294 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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