RECURRENT CARPAL-TUNNEL SYNDROME

Recurrent carpal tunnel syndrome has been shown to occur in up to 19% of patients. Common causes include incomplete release of the transvers e carpal ligament, fibrous proliferation, and recurrent tenosynovitis. The prognosis for repeat CTS is fair (poorer than initial release). F or a painful scar with adhesions to the median nerve, numerous reconst ructive procedures can be considered, including epineurolysis, local m uscle grafts, fat grafts, and vein-wrapping procedures.