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A case is reported of the delayed onset of multiple nerve dysfunction after simple carpal tunnel release. The patient received a local anesthetic with the use of an arm tourniquet. The multiple dysfunctions included radial sensory and motor dysfunction at 5 days, anterior interosseous nerve syndrome at 33 days, and ulna intrinsic motor loss between 33 and 77 days after operation. There was no recovery in the radial or anterior interosseous nerves after 5 months of conservative management. At operation the radial nerve was compressed by the intermuscular septum, and the anterior interosseous nerve was compressed by the superficialis arcade. Decompression was followed by complete recovery.
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Accepted: December 3, 1987
Received: September 21, 1987
*No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
© 1988 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.