Türk Nöroşirürji Dergisi 2012 , Vol 22 , Num 1
Evaluation of 18 Recurrent Carpal Tunnel Syndrome and Its Causes
Ali Kıvanç TOPUZ1, Ahmet EROĞLU1, Cem ATA BEY1, Cem DİNÇ2, Selçuk GÖÇMEN1, Ahmet ÇOLAK1, Mehmet Nusret DEMİRCAN1
1GATA Haydarpaşa Eğitim Hastanesi, Beyin Cerrahisi Kliniği, İstanbul, Türkiye
2Memorial Ataşehir Hastanesi, Beyin Cerrahisi Kliniği, İstanbul, Türkiye
AIM: In our clinical study, the causes and surgical methods were discussed by evaluating these 18 recurrent cases with no systemic disease that had been operated in another center before in the light of the literature.

MATERIAL and METHODS: Between September 2007 and October 2010, 392 cases were evaluated retrospectively by taking into consideration of age, gender, physical examination findings, electrophysiological investigations, surgical treatment methods that were operated due to CTS in our clinic.

RESULTS: 33 of the patients had been operated with the diagnosis of recurrent CTS. When we evaluated these recurrent cases according to the causes, there were diabetic polyneuropathy in 9 cases, hypothyroidism in 3 cases, rheumatoid arthritis in 2 patients, systemic amyloidosis in 1 patient. EMG findings in the postoperative period supported neuropathy due to systemic diseases. In the remaining 18 patients with recurrence had no detected systemic disease and all of them had been operated some time ago in another center.

CONCLUSION: As a result, our opinion is that, cutting the transverse ligament by seeing the whole ligament and making the incision from the ulnar side of the median nerve will reduced recurrence, besides that it could also prevent injuries of the motor and sensory branches of the median nerve in CTS cases. Anahtar Kelimeler : Carpal tunnel syndrome, Entrapment neuropathy, Decompression