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Flexor Digitorum Sublimis Flap for Recalcitrant Carpal Tunnel Surgery

Rosenberg, Russell D. BS*; Abzug, Joshua M. MD; Jacoby, Sidney M. MD*; Osterman, A. Lee MD*

Techniques in Hand & Upper Extremity Surgery: September 2012 - Volume 16 - Issue 3 - p 180–182
doi: 10.1097/BTH.0b013e3182613fe9

Carpal tunnel release is commonly performed to treat paresthesias, pain, and hand or wrist dysfunction. Despite it being a highly successful procedure, on occasion some patients may continue to suffer from persistent or recurrent symptoms after surgery. Techniques to manage recurrent symptoms range from nonoperative care including injections, splinting, and medications to revision surgery that may include a number of options such as local or distant flap coverage of the median nerve, nerve conduit placement, and/or utilization of vascularized tissues. This paper describes the technique of using a vascularized rotational muscle flap harvested from the flexor digitorum sublimis as a viable option to envelop the median nerve and promote healing during carpal tunnel revision surgery.

*Department of Orthopedic Surgery, Division of Hand Surgery, Thomas Jefferson University, Philadelphia, PA

Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Address correspondence and reprint requests to Joshua M. Abzug, MD, Department of Orthopaedics, University of Maryland Orthopaedics, 1 Texas Station Ct., Suite 300, Timonium, MD 21093. E-mail:

© 2012 Lippincott Williams & Wilkins, Inc.