Clinical and electrophysiological comparison of different methods of soft tissue coverage of the median nerve in recurrent carpal tunnel syndrome

Clinical and Electrophysiological Comparison of Different Methods of Soft Tissue Coverage of the Median Nerve in Recurrent Carpal Tunnel Syndrome To the Editor: We would like to report our clinical and ultrasonographic experience in decreasing the pillar pain rate and symptoms after carpal tunnel decompression. Recently, Stu_tz et al. (4) evaluated the clinical and electrophysiological results in 26 patients treated with either a hypothenar fat flap or a synovial flap to prevent recurrent scar compression of the median nerve after previously failed carpal tunnel decompression. They obtained reduction rates of brachial nocturnal pain and pillar pain and concluded that coverage by an ulnar-based hypo - thenar fat flap seemed to produce superior results (4).