Evidence map›Paper›PMID 40459165›Full record

ArticleEFORT open reviews2025

Management of failed carpal tunnel decompression.

Arne Decramer, Carlos Heras-Palou, Maarten Van Nuffel, Tom Lattré, Ilse Degreef

Abstract read
In one paragraph

Article in EFORT open reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Arne DecramerOrthopaedic Surgery, AZ Delta Roeselare, Roeselare, Belgium.ORCID https://orcid.org/0000-0003-2456-9798
Carlos Heras-PalouOrthopaedic Surgery, Pulvertaft Hand Centre, Derby, UK.
Maarten Van NuffelOrthopaedic Surgery, UZ Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0003-4021-687X
Tom LattréHand Rehabilitation, Handreva Tom Lattré Ypres, Ypres, Belgium.ORCID https://orcid.org/0000-0002-7179-7286
Ilse DegreefOrthopaedic Surgery, UZ Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0003-2464-2641

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Surgical decompression of carpal tunnel syndrome is usually successful, and failure is rare. Diagnosis of persistent or recurrent carpal tunnel syndrome is based on thorough anamnesis and clinical examination, defining underlying comorbidities, nerve conduction studies and distinguish recurrent, persistent or new complaints. Management of failed carpal tunnel release may require revision surgery, which includes redo release of the transversal carpal ligament, external neurolysis and flaps. A hypothenar fat pad flap or other local, regional or distant flaps may be added to a redo release of the carpal tunnel. Currently, convincing evidence to superiority of additional flap surgery is lacking. Postoperative care is evolving toward early motion rather than immobilization, with nerve gliding exercises to prevent adhesions and promote nerve recovery. Virtual reality was recently added to postoperative protocol options.

Indexed as

amyloidosiscarpalfailedgeneticrehabilitationtumorstunnel

Identifiers

PMID40459165
PMCPMC12139599

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.