Complications related to carpal tunnel release

Delayed ulnar neuropathy at the wrist following open carpal tunnel release

“…4 Complications related to tendon translocation over the hook of the hamate may result in pain, tendon snapping, and weakened grip. 3 Even though tendon translocation and migration of the carpal tunnel contents have previously been observed, compression of the ulnar nerve in Guyon's canal by the displaced carpal tunnel contents is an as yet unreported complication, at least to our knowledge. Apparently, volar or palmar migration of the canal contents is relatively common, but rarely causes clinical problems.…”

“…Braun and colleagues advocate placing the wrist in 10 to 15 degrees of extension, thereby encouraging the flexor tendons to remain in the carpal tunnel during the early postoperative healing phase. 3 This case is unique in so far as translocation of the carpal contents resulted in compression of the ulnar nerve in Guyon's canal several months after open carpal tunnel release. Although ulnar nerve injuries previously reported as a complication of carpal tunnel surgery have occurred at the time of the procedure, this report adds open carpal tunnel release to the differential diagnosis of ulnar neuropathy at the wrist.…”

Carpal Tunnel Syndrome

“…Other structures at risk during endoscopic surgery are the nerves going into the middle and ring finger, flexor tendons and the ulnar artery. [34][35][36]44,45 Return of carpal tunnel syndrome can occur and unfortunately repeat surgery has a lower success rate in getting rid of the symptoms. Neurolysis (releasing scar tissue from the nerve) and epineurotomy (opening the outer covering of the nerve) of the median nerve with a covering of fat or muscle tissue can be done.…”

Assessing the complications and effectiveness of open carpal tunnel release in a tertiary care centre in a developing country

“…Our study did not show a number of complications that are commonly attributed to surgical decompression of the median nerve for instance neuroma formation 7,12 and also hypertrophic scar formation. 8,13 An interesting deduction arising from the study was the aberrant arterial branch of the radial artery sourcing as the problem of persistent post-operative haemorrhage.…”

“…4,5 However, the procedure is not devoid of complications as studies report. [7][8][9][10][11][12][13] The deficiency of the medical literature to quantitatively depict symptom and functional improvement after open decompression in developing countries was the basis of the study. The aim was to assess the effectiveness of the open carpal tunnel release procedure with the Boston…”