Median Nerve Decompression at Lacertus Tunnel: Possible Complications

Evolving concepts of median nerve decompression in the carpal tunnel.

Carpal tunnel syndrome is the most common and best known of the compression neuropathies in the upper extremity. The authors review their clinical experiences in the diagnosis and management of this entity and survey the extensive literature on the subject. An operative approach for decompression of the median nerve in the carpal canal is described that has proved to be most efficacious and safe.

Median nerve decompression after Colles's fracture.

Compression of the median nerve after Colles’s fracture has been well documented. The causes of compression that have been identified include haematoma within the carpal tunnel (Seddon 1975; Watson-Jones 1 976), hyperextension at the time of the injUry with direct nerve damage (Kirchman 1910; Sterling and Habermann 1973), and healing with excessive callus formation and malunion (Zachary 1945). ...

Median nerve compression in the carpal tunnel.

portant that the physiotherapist should supervise the movements and make sure that the metacarpal is again moved through a full active range at the new joint. This treatment is continued until the patient can return to light work, which is usually a matter of four to six weeks. Some patients complain of pain for longer than this, but others are surprisingly pain free; one started milking cows w...

Carpal Tunnel Syndrome and Median Nerve Lesions

Carpal Tunnel Syndrome and Median Nerve Lesions

Carpal tunnel syndrome (CTS) is by far the most common cause of median nerve damage. The carpal tunnel is an anatomical compartment of the hand; it is bounded on three sides by carpal bones which form an arch, and on the palmar side by the transverse carpal ligament. Pathogenesis CTS results from compromise of median nerve function at the wrist, caused by increased pressure in the carpal tunnel...