Acute Carpal Tunnel Syndrome From Burns of the Hand and Wrist

Balakrishnan, Chenicheri; Mussman, Jason Lee; Balakrishnan, Anila; Khalil, Abdullah J

doi:10.1177/229255030901700402

Cited by 9 publications

(1 citation statement)

References 13 publications

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“…Muscle necrosis in a normotensive patient can occur after eight hours of exposure to pressures of only 30 mmHg (21) and pressure between 40 and 50 mmHg presents a critical threshold beyond which nerve function is altered (24). The main symptoms are progressive onset of numbness in the median nerve distribution and pain in the fingers on passive extension in this case (25). Late onset nerve compression syndromes can be caused by the formation of scar tissue or heterotopic bone (26).…”

Section: Discussionmentioning

confidence: 99%

Is carpal tunnel release safe in electrical burn decompressive therapy: Six-years experience

2021

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Objective: Upper extremity electrical burn can create severe sequela and debilitation if not treated properly. Immediate decompression with fasci- otomy and carpal tunnel release seem to be the most promising choice of treatment. Neurologic functional loss can be avoided if median nerve is liberated. Material and Methods: During 6-year time interval, 50 out of 1158 burn patients underwent upper extremity decompressive fasciotomy with carpal tunnel release. Their hand motor function based on nerve innervation and daily usage questionnaire were followed in 12-month intervals. Results: Average score rose markedly after 18th month and reached nearly normal at the end of 66th month. Median, ulnar and radial nerve function tests were all positive, and no irreversible nerve function loss observed. Conclusion: All compartments of the forearm should be explored and carpal tunnel release should be added into upper extremity decompressive fasciotomy after electrical burns.

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Section: Discussionmentioning

confidence: 99%