Table 3.
Details of Patients Who Underwent Revision CTR
| Patient ID | Laterality | Days to Revision | Preop EMG/NCS | Preop EMG/NCS Grade | Prerevision EMG Result | Same Surgeon? | Primary Approach | Revision Approach | Reason for Revision | Revision Surgery Intraop Findings | Concomitant Procedures |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Right | 421 | Yes | Moderate-to-severe | Equivalent (moderate-to-severe) | No | Open | Open | Recurrent symptoms | 1. Incomplete release of TCL 2. Median n. severely compressed, w/ hourglass appearance |
N/a |
| 2 | Left | 43 | Yes | Severe | N/a | Yes | Open | Open | Worsening symptoms with pain | 1. Median n. compressed under distal forearm fascia 2. Flexor tenosynovial hypertrophy |
Forearm flexor tenosynovectomy |
| 3 | Right | 1647 | Yes | Moderate | Equivalent (moderate) | Yes | Open | Open | Recurrent symptoms | 1. Reformation and thickening of TCL 2. Median n. flattened and atrophied |
CuTR, Ulnar nerve release at wrist, flexor pronator lengthening |
| 4 | Left | 840 | Yes | Severe | Equivalent (severe) | Yes | Open | Open | Recurrent symptoms | 1. Perineural scarring w/ adhesions and tethering causing compression | Pedicled synovial flap |
| 5 | Right | 434 | Yes | Severe | Equivalent (severe) | Yes | Open | Open | Recurrent symptoms | 1. Reformation and thickening of TCL 2. Flexor tenosynovial hypertrophy |
Hypothenar fat flap, Forearm flexor tenosynovectomy |
| 6 | Right | 112 | Yes | Moderate | N/a | Yes | Endoscopic | Open | Recurrent symptoms | Full operative report unavailable | N/a |
| 7 | Right | 805 | Yes | Severe | Equivalent (severe) | Yes | Open | Open | Persistent symptoms | 1. Perineural scarring w/ adhesions and tethering causing compression | Nerve wrap |
| 8 | Right | 175 | Yes | Severe | Equivalent (severe) | Yes | Endoscopic | Open | Persistent symptoms | 1. Thin, scarred in portion of TCL causing compression | Hypothenar fat flap, CuTR |
| 9 | Left | 1125 | Yes | Severe | Mild improvement in conduction (moderate) | Yes | Open | Open | Recurrent symptoms | 1. Thin, scarred in portion of TCL causing compression | Long TFR, Revision Ulnar n. transposition |
| 10 | Right | 134 | Yes | Severe | Equivalent (severe) | Yes | Open | Open | Persistent symptoms | 1. Flexor tenosynovial hypertrophy | Forearm flexor tenosynovectomy |
| 11 | Right | 302 | Yes | Moderate-to-severe | More severe (severe) | Yes | Open | Open | Persistent symptoms | 1. Reformation and thickening of TCL 2. Perineural scarring w/ adhesions 3. Median n. severely compressed w/ hourglass appearance |
Hypothenar fat flap |
| 12 | Right | 425 | Yes | Moderate-to-severe | Equivalent (moderate-to-severe) | Yes | Open | Open | Persistent symptoms | 1. Flexor tenosynovial hypertrophy | Forearm flexor tenosynovectomy, Median nerve neurolysis at elbow, Lacertus release |
| 13 | Right | 168 | Yes | Severe | Equivalent (severe) | Yes | Open | Open | Persistent symptoms | 1. Perineural scarring w/ adhesions 2. Flexor tenosynovial hypertrophy |
Nerve wrap, Forearm flexor tenosynovectomy |
| 14 | Left | 90 | Yes | Moderate | More severe (severe) | Yes | Open | Open | Recurrent symptoms | 1. Thin, scarred in portion of TCL causing compression 2. Median n. severely compressed w/ hourglass appearance |
Hypothenar fat flap |
| 15 | Left | 427 | Yes | Moderate | N/a | Yes | Open | Open | Recurrent symptoms | Full operative report unavailable | N/a |
| 16 | Left | 131 | Yes | Moderate | More severe (moderate-to-severe) | Yes | Open | Open | Recurrent symptoms | 1. Thin, scarred in portion of TCL causing compression 2. Perineural scarring w/ adhesions |
Pedicled synovial flap |
| 17 | Left | 11 | Yes | Moderate-to-severe | N/a | Yes | Open | Open | Worsening symptoms with pain | 1. Compressive superficial band of distal forearm fascial tissue | N/a |
| 18 | Right | 245 | Yes | Moderate | Equivalent (Moderate) | Yes | Open | Open | Persistent symptoms | 1. Perineural scarring w/ adhesions and tethering causing compression | Nerve wrap |
| 19 | Right | 90 | Yes | Moderate | N/a | Yes | Open | Open | Recurrent symptoms | 1. Perineural scarring w/ adhesions and tethering causing compression | Nerve wrap |
| 20 Left | Left | 285 | Yes | Moderate | N/a | Yes | Open | Open | Recurrent symptoms | 1. Thin, scarred in portion of TCL causing compression 2. Perineural scarring w/ adhesions |
N/a |
| 20 Right | Right | 273 | Yes | Moderate | N/a | Yes | Open | Open | Recurrent symptoms | 1. Perineural scarring w/ adhesions | N/a |
| 21 | Left | 1113 | Yes | Severe | Equivalent (Severe) | Yes | Open | Open | Recurrent symptoms | Full operative report unavailable | Hypothenar fat flap |
| 22 | Left | 651 | Yes | Severe | N/a | Yes | Open | Open | Recurrent symptoms | 1. Perineural scarring w/ adhesions | Ring TFR, Revision CuTR |
| 23 | Right | 524 | Yes | Severe | Equivalent (Severe) | Yes | Open | Open | Recurrent symptoms | 1. Reformation and thickening of TCL 2. Perineural scarring w/ adhesions |
N/a |
CuTR, cubital tunnel release; intraop, intraoperative; N/a, not available; preop, preoperative; TCL, transverse carpal ligament; TFR, trigger finger release.