Document Detail


Perforator-based radial forearm fascial flap for management of recurrent carpal tunnel syndrome.
MedLine Citation:
PMID:  24206978     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
PURPOSE: To study the benefit of using the perforator-based radial forearm fascial flap for patients with recurrent carpal tunnel syndrome.
METHODS: We used a perforator-based radial forearm fascial flap in 8 patients to cover the median nerve. All of the patients had undergone an index carpal tunnel release, and 3 of them had undergone at least 1 revision surgery to further decompress the median nerve.
RESULTS: At average of 20 months (range, 6-30 mo) after the forearm fascial flap, all patients reported symptomatic improvement with complete resolution of nighttime symptoms. No patient reported worsening of symptoms; however, some subjective parasthesias persisted in 3 of the 8 patients. Objective assessment revealed complete resolution of a Tinel sign in 5 of 8 patients and noteworthy improvement in the remaining 3 patients. Average 2-point discrimination was 10.0 mm before surgery and 5.4 mm after surgery, average grip strength improved from 13.5 kg to 21.0 kg, and average tip pinch strength improved from 4.1 kg to 7.0 kg.
CONCLUSIONS: The perforator-based radial forearm fascial flap may prove useful in the setting of recurrent carpal tunnel syndrome after surgical decompression.
LEVEL OF EVIDENCE: Therapeutic IV.
Authors:
Mostafa Mahmoud; Sherif El Shafie; Erin E Coppola; John C Elfar
Related Documents :
23106378 - Posthemispherectomy hydrocephalus: results of a comprehensive, multiinstitutional review.
19860488 - Day case cleft lip surgery in lagos, nigeria.
24661768 - The timing of complications impacts risk of readmission after hepatopancreatobiliary su...
24119368 - Decompressive surgery for malignant cerebral venous sinus thrombosis: a retrospective c...
11863328 - Variation in surgical and anaesthetic technique and associations with operative risk in...
9119278 - Transurethral prostatectomy--new trends.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  38     ISSN:  1531-6564     ISO Abbreviation:  J Hand Surg Am     Publication Date:  2013 Nov 
Date Detail:
Created Date:  2013-11-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2151-8     Citation Subset:  IM    
Copyright Information:
Copyright © 2013 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Orthopaedics and Rehabilitation, University of Rochester, Rochester, New York; Kasr Al Ainy Hospital, Faculty of Medicine, Cairo University, Cairo, Egypt; Al Helal Hospital, Cairo, Egypt.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

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


Previous Document:  Comparison of magnification in primary digital nerve repair: literature review, survey of practice t...
Next Document:  Tactile sensibility on the fingernail.