Carpal Tunnel Syndrome 4 Mackinnon SE1 Yee A1 May 16, 2016Disclosure: No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication.This presentation discusses carpal tunnel syndrome (CTS) and median neuropathy in the context of compression neuropathies. In particular, this presentation details the specific nuances for (1) an open carpal tunnel release, (2) revision carpal tunnel surgery, and (3) decompression of the median nerve in the forearm. Patients that fail the primary carpal tunnel release and require secondary surgery, present with either persistent, recurrent, or new symptoms. This classification for revision surgery is discussed to indicate the nature of the patient’s problem and define the appropriate management. Additionally, the technical nuances for decompression of the median nerve in the forearm are presented.Keywords: pronator syndromemedian nervecarpal tunnel syndromecompression neuropathynerve decompression Presentation Table of Contents00:00:00 - Introduction00:00:06 - CARPAL TUNNEL SYNDROME00:00:10 - Pain Evaluation00:00:58 - Pre-operative and Post-operative Therapy00:01:12 - Overview00:02:05 - Carpel Tunnel Synovium00:02:35 - Carpal Tunnel Release00:02:40 - Incision for Carpal Tunnel Release00:03:35 - Transverse Carpal Ligament00:05:21 - Location of Ligament Release00:05:53 - Surgical Technique for Carpal Tunnel Release00:06:47 - Extended Incision for Increase in Body Mass Increase00:06:54 - Revision Carpal Tunnel Surgery00:07:25 - Persistent, Recurrent, or New Symptoms for Carpal Tunnel Syndrome00:08:44 - Surgical Technique for Revision Carpal Tunnel Release00:09:33 - Neurolysis for Bands of Fontana00:09:52 - Longitudinal and Transverse Neurolysis00:10:50 - Median Nerve Reconstruction for Iatrogenic Nerve Injuries00:12:56 - MEDIAN NERVE COMPRESSION IN THE FOREARM00:13:22 - Median Nerve Release in the Forearm00:13:26 - Step-lengthening the Pronator Teres00:14:59 - Decompression of the Medial Nerve00:17:05 - Conclusion You must login to view the full article and extended video on this page. Leave a Comment Cancel replyYou must be logged in to post a comment.