Arch Hand Microsurg.  2021 Jun;26(2):131-139. 10.12790/ahm.21.0093.

Recalcitrant Carpal Tunnel Syndrome

Affiliations
  • 1Department of Orthopedic Surgery, Hallym University Sacred Heart Hospital, Chuncheon, Korea
  • 2Department of Orthopedic Surgery, Sungkyunkwan University School of Medicine, Seoul, Korea

Abstract

Complications and failures after carpal tunnel release have been reported from 3% to 25%. And the revision surgeries usually show poorer outcomes than the primary surgeries. There are diverse etiologies causing neuropathic symptoms after the carpal tunnel release, which became a clinical challenge. Potential causes of the symptoms are categorized into three by those natures; persistent symptom, recurrent symptom, and new symptom. The decision of proper management should be based on the etiologies of reproduced symptoms. This article described an overview of the clinical presentation, etiologies, diagnosis, and treatments of the recalcitrant carpal tunnel syndrome.

Keyword

Recalcitrant carpal tunnel syndrome; Etiology; Treatment; Revision surgery

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