Research Article| Volume 13, ISSUE 4, P584-589, July 1988

Multiple nerve dysfunction after carpal tunnel release

  • R. Evan Crandall
    From the Division of Plastic Surgery, Washington University School of Medicine, St. Louis, Mo., USA
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  • Paul M. Weeks
    Reprint requests: Paul M. Weeks, MD, Division of Plastic Surgery, Washington University School of Medicine, 4949 Barnes Hospital Plaza, Suite 17424, St. Louis, MO 63110.
    From the Division of Plastic Surgery, Washington University School of Medicine, St. Louis, Mo., USA
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.
      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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