The objective of our study is to identify the causes for recurrence and to evaluate the results of our technique. We retrospectively analysed 18 patients (12 females; 6 males) who had both clinical and electrophysiological confirmation (7 focal entrapments; 11 severe entrapments) of recurrent carpal tunnel syndrome. In all the patients, after releasing the nerve a vascularised fat pad flap was mobilised from hypothenar region and sutured to the lateral cut end of flexor retinaculum. All the patients were assessed post-operatively for relief of pain, recovery of sensory and motor dysfunction.Aims
Material and Methods
The role of in-situ decompression in patients with severe ulnar nerve compression is still controversial. The authors present a prospective study on the results of in-situ decompression in this selected group of patients treated through a mini open incision (4cms) and complete decompression by appropriate patient positioning. Thirty patients (20 Male/10 Female) with severe degree of nerve compression, confirmed clinically by Dellon's classification and by abnormal Nerve Conduction Study, underwent simple in-situ decompression under general anaesthesia as a day-case procedure. Through a 4cms incision and by moving the elbow the nerve is fully visualised and decompressed. Outcome was measured prospectively at three months and one year using Modified Bishop's score, grip strengths and two point discrimination (2PD).Introduction
Material/Methods
