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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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Article info
Publication history
Accepted:
December 3,
1987
Received:
September 21,
1987
Footnotes
*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.
Identification
Copyright
© 1988 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
