Open Carpal Tunnel Release With a Z-plasty Rearrangement for Median Nerve Mononeuropathy Secondary to Traumatic Scar Contracture

We present the case of a 56-year-old woman who developed carpal tunnel syndrome and palmar scar contracture secondary to a left-hand palmar laceration in a pedestrian versus motor vehicle accident. The patient underwent carpal tunnel release and a Z-plasty rearrangement to restore normal thumb movem...

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Detalles Bibliográficos
Autores principales: Laub, Peter, Chon, Jeewon, Agnew, Sonya, Schiffman, Kenneth, Ogrodnik, Joseph
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Plastic Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10313498/
https://www.ncbi.nlm.nih.gov/pubmed/37398736
http://dx.doi.org/10.7759/cureus.39802
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author Laub, Peter
Chon, Jeewon
Agnew, Sonya
Schiffman, Kenneth
Ogrodnik, Joseph
author_facet Laub, Peter
Chon, Jeewon
Agnew, Sonya
Schiffman, Kenneth
Ogrodnik, Joseph
author_sort Laub, Peter
collection PubMed
description We present the case of a 56-year-old woman who developed carpal tunnel syndrome and palmar scar contracture secondary to a left-hand palmar laceration in a pedestrian versus motor vehicle accident. The patient underwent carpal tunnel release and a Z-plasty rearrangement to restore normal thumb movement. The patient reported significant improvement in thumb mobility, resolution of median neuropathy symptoms, and no pain along the scar at her three-month follow-up. Our case illustrates the effectiveness of a Z-plasty in relieving tension along scars and potential management for traction-type extraneural neuropathy arising from scar contracture.
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spelling pubmed-103134982023-07-02 Open Carpal Tunnel Release With a Z-plasty Rearrangement for Median Nerve Mononeuropathy Secondary to Traumatic Scar Contracture Laub, Peter Chon, Jeewon Agnew, Sonya Schiffman, Kenneth Ogrodnik, Joseph Cureus Plastic Surgery We present the case of a 56-year-old woman who developed carpal tunnel syndrome and palmar scar contracture secondary to a left-hand palmar laceration in a pedestrian versus motor vehicle accident. The patient underwent carpal tunnel release and a Z-plasty rearrangement to restore normal thumb movement. The patient reported significant improvement in thumb mobility, resolution of median neuropathy symptoms, and no pain along the scar at her three-month follow-up. Our case illustrates the effectiveness of a Z-plasty in relieving tension along scars and potential management for traction-type extraneural neuropathy arising from scar contracture. Cureus 2023-05-31 /pmc/articles/PMC10313498/ /pubmed/37398736 http://dx.doi.org/10.7759/cureus.39802 Text en Copyright © 2023, Laub et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Plastic Surgery
Laub, Peter
Chon, Jeewon
Agnew, Sonya
Schiffman, Kenneth
Ogrodnik, Joseph
Open Carpal Tunnel Release With a Z-plasty Rearrangement for Median Nerve Mononeuropathy Secondary to Traumatic Scar Contracture
title Open Carpal Tunnel Release With a Z-plasty Rearrangement for Median Nerve Mononeuropathy Secondary to Traumatic Scar Contracture
title_full Open Carpal Tunnel Release With a Z-plasty Rearrangement for Median Nerve Mononeuropathy Secondary to Traumatic Scar Contracture
title_fullStr Open Carpal Tunnel Release With a Z-plasty Rearrangement for Median Nerve Mononeuropathy Secondary to Traumatic Scar Contracture
title_full_unstemmed Open Carpal Tunnel Release With a Z-plasty Rearrangement for Median Nerve Mononeuropathy Secondary to Traumatic Scar Contracture
title_short Open Carpal Tunnel Release With a Z-plasty Rearrangement for Median Nerve Mononeuropathy Secondary to Traumatic Scar Contracture
title_sort open carpal tunnel release with a z-plasty rearrangement for median nerve mononeuropathy secondary to traumatic scar contracture
topic Plastic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10313498/
https://www.ncbi.nlm.nih.gov/pubmed/37398736
http://dx.doi.org/10.7759/cureus.39802
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