Retrospective Study
Copyright ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 26, 2018; 6(10): 365-372
Published online Sep 26, 2018. doi: 10.12998/wjcc.v6.i10.365
Recurrent carpal tunnel syndrome: Evaluation and treatment of the possible causes
Ahmet Eroğlu, Enes Sarı, Ali Kıvanç Topuz, Hakan Şimşek, Serhat Pusat
Ahmet Eroğlu, Hakan Şimşek, Serhat Pusat, Department of Neurosurgery, Haydarpaşa Sultan Abdülhamid Education and Research Hospital, Istanbul 34000, Turkey
Enes Sarı, Department of Orthopaedics and Traumatology, Near East University Hospital, Lefkoşa 99010, Cyprus
Ali Kıvanç Topuz, Department of Neurosurgery, Baypark Hospital, Istanbul 34000, Turkey
Author contributions: Eroğlu A contributed to the idea for research or article/hypothesis generation, supervision and responsibility for the organisation and course of the project and the manuscript preparation; Sarı E planed the methods to generate hypothesis and takes responsibility for creation of the entire or a substantial part of the manuscript; Topuz AK took responsibility for conducting literature search; Şimşek H reworked the final, before submission version of the manuscript for intellectual content, not just spelling and grammar check; Pusat S took responsibility for creation of the entire or a substantial part of the manuscript.
Institutional review board statement: The manuscript has been approved by Ministry of Health Haydarpaşa Sultan Abdülhamid Education and Research Hospital, Review Board of Neurosurgery.
Informed consent statement: It has been declared that all relevant persons involved (subjects or legally authorized representative) gave their informed consent (written or verbal, as appropriate).
Conflict-of-interest statement: All authors have no conflicts of interest to report.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Ahmet Eroğlu, MD, Surgeon, Department of Neurosurgery, Haydarpaşa Sultan Abdülhamid Education and Research Hospital, Selimiye Neighborhood, Tibbiye Street, Istanbul 34000, Turkey. drahmeteroglu@gmail.com
Telephone: +90-506-2036231 Fax: +90-216-5422815
Received: April 8, 2018
Peer-review started: April 8, 2018
First decision: May 16, 2018
Revised: July 25, 2018
Accepted: August 11, 2018
Article in press: August 11, 2018
Published online: September 26, 2018
Core Tip

Core tip: In this study, 23 cases of recurrent carpal tunnel syndrome did not have any systemic disease and all of them had undergone a surgical intervention in another center. The incision was made starting distal to the volar wrinkle, passed between the thenar and hypothenar region, 2-3 mm medially to the thenar wrinkle and extended 2-3 cm to the lateral side of the third finger. In recurrent cases, an appropriate differential diagnosis, re-operation without delay to avoid the development of the interfacial fibrosis, and implementation of a precise and careful surgical technique play important roles in improving the surgical outcome.