Summary
Complications of carpal tunnel release, while infrequent, include incomplete release
resulting in persistent symptoms or recurrence due to postoperative scarring, as well
as iatrogenic damage to nerves and vessels. We present the case of a patient who underwent
carpal tunnel release with resolution of symptoms in the immediate postoperative period.
At one and a half years post release he started to experience numbness and tingling
in a median nerve distribution triggered by repetitive ulnar to radial deviation of
the wrist, with no symptoms at rest. Dynamic ultrasound showed a subluxation of the
median nerve from one side of the palmaris longus tendon to the other. The patient’s
symptoms were triggered as the median nerve squeezed in between the palmaris longus
and flexor digitorum superficialis tendons.
Keywords
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References
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Article info
Publication history
Published online: January 09, 2012
Accepted:
November 25,
2011
Received:
November 10,
2011
Identification
Copyright
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.