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Ulnar nerve palsy after open carpal tunnel decompression: Case report and review of the literature

Introduction

Carpal tunnel syndrome is the commonest nerve entrapment of the upper limb, with an estimated lifetime risk of 10%. [1] Surgical decompression of the transverse carpal ligament has proven value, producing significant relief of pain and paraesthesia in more than 70% of patients. [2]

Complications are well described. MacDonald et al. , describe an incidence of 12% following 186 cases of open carpal tunnel release. [3] One can divide these into persistence of preoperative symptoms and new symptoms. The former is most often due to incomplete release of the flexor retinaculum. New postoperative symptoms are often iatrogenic, associated with damage to branches of the median nerve, ...

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