Practical and user-friendly, this text provides the orthopedic and hand surgeon with all the essential information for diagnosing and treating carpal tunnel syndrome (CTS) and other median neuropathies of the hand and wrist, with special emphasis on challenges and complications. Organized to allow for easy searching of specific subject matter, opening chapters discuss anatomy of the median nerve, history and pathophysiology of CTS, clinical presentation and diagnosis, including imaging, and severity scoring. Presentation of various treatment strategies follows, both non-operative and surgical, including open and endoscopic techniques and revision surgery, incomplete release, transection, use of the reverse radial forearm flap, vein wrap, synovial wrap, and microneurolysis. Other median neuropathies are discussed as well, including neuromas and stimulation for chronic median nerve pain.
Generously illustrated, Carpal Tunnel Syndrome and Related Median Neuropathies is a valuable resource for orthopedic and hand surgeons on the evaluation and treatment of complications and complexities arising from carpal tunnel syndrome and surgery.
Scott F. M. Duncan, MD, MPH, MBA, Chair, Department of Orthopedic Surgery, Ochsner Medical Center, New Orleans, LA, USA
Ryosuke Kakinoki, MD, PhD, Department of Orthopedic Surgery, Kyoto University, Kyoto, Japan
Anatomy of the Median Nerve: Anatomic Variations and Anomalies.- History of Carpal Tunnel Syndrome.- Clinical Presentation.- Differential Diagnosis.- Carpal Tunnel Syndrome Associated or Caused by Other Medical Conditions.- Infection Causing CTS.- Interpretation of EMG/NCV Studies.- Imaging of the Carpal Tunnel and Median Nerve.- Treatment: Incomplete Release.- Treatment: Mixed/Partial Nerve Injuries.- Treatment: Neuroma in Situ.- Treatment: Transection.- Diagnosis of True Recurrence.- Use of Reverse Radial Forearm Flap.- Use of Reverse Radial Forearm Fascial Flap.- Vein Wrap.- Synovial Wrap.- Microneurolysis.- Reconstruction of the Flexor Retinaculum.- Biologics, Conduits, Allografts and Autografts.- Median Compressive Neuropathy Proximal to the Carpal Tunnel.- Treatment of Median Nerve Tumors.- Nerve Stimulator for Chronic Median Nerve Pain.- Complex Regional Pain Syndrome.- The Indications and Importance of Obtaining Electrical Studies in Carpal Tunnel Syndrome.