International Journal of Medicine in Developing Countries

Case Report

Previous Article Next Article

IJMDC. 2023; 7(4): 742-744

DOI: 10.24911/IJMDC.51-1672344142

Hypothenar fat pad flap to prevent ecurrence of carpal tunnel syndrome: a case report

Authors: Hani A. Shash, Abdulrahman A. Alghamdi, Hayam A. Shash, Sawsan F. Almarzouq.

ABSTRACT

Background: Carpal tunnel syndrome (CTS) is one of the most prevalent peripheral neuropathies and most commonly affects middle-aged women. The typical symptoms of CTS are nocturnal pain accompanied by tingling and numbness in the hand’s median nerve distribution. The management of CTS ranges from conservative treatment to surgical intervention with good response. However, the recurrence of CTS after the first surgery can reach up to 25%, and up to 95% after the second one. Case Presentation: We report a 41-year-old woman with a Schwannoma of her right median nerve with CTS. She developed a recurrence of the symptoms despite traditional surgical correction three times. The plan is to do an alternative surgical procedure, the hypothenar fat pad flap (HTFPF), particularly due to the neuroma aiming to cover the affected nerve with fat and prevent further recurrence. The surgery was successful, and the patient’s symptoms subsided with no further recurrences. Conclusion: The HTFPF is an excellent surgical choice for recurrent CTS, and the choice of surgery in these cases should be individualized according to the patient clinical condition.

Keywords:
Carpal Tunnel Syndrome; recurrent carpal tunnel syndrome; hypothenar fat pad flap; median nerve


View PDF
Open access Creative Commons License
';
Hypothenar fat pad flap to prevent ecurrence of carpal tunnel syndrome: a case report


Authors
Hani A Shash
Department of surgery, King Fahad Hospital of the University, Khobar, Saudi Arabia, College of Medicine, Imam Abdulrahman bin Faisal university, Dammam, Saudi Arabia
PubMed articlesGoogle scholar articles

Abdulrahman A Alghamdi
College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
PubMed articlesGoogle scholar articles

Hayam A Shash
College of Medicine, Alfaisal university, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles

Sawsan F Almarzouq
Department of surgery, King Fahad Hospital of the University, Khobar, Saudi Arabia, College of Medicine, Imam Abdulrahman bin Faisal university, Dammam, Saudi Arabia.
PubMed articlesGoogle scholar articles


Correspondence to:
. Hani A. Shash, Assistant Professor, Consultant Plastic Surgery, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.; hani.shash@gmail.com

Publication history
Received 30 Dec 2022
Accepted 03 Jan 2023
Published online 04 Jan 2023
Published in print 15 Jan 2023

How to cite this article?

Export to EndNote Export to refMan

Pubmed Style

Shash HA, Alghamdi AA, Shash HA, Almarzouq SF. Hypothenar fat pad flap to prevent ecurrence of carpal tunnel syndrome: a case report. IJMDC. 2023; 7(4): 742-744. doi:10.24911/IJMDC.51-1672344142


Web Style

Shash HA, Alghamdi AA, Shash HA, Almarzouq SF. Hypothenar fat pad flap to prevent ecurrence of carpal tunnel syndrome: a case report. https://www.ijmdc.com/?mno=135016 [Access: March 22, 2023]. doi:10.24911/IJMDC.51-1672344142


AMA (American Medical Association) Style

Shash HA, Alghamdi AA, Shash HA, Almarzouq SF. Hypothenar fat pad flap to prevent ecurrence of carpal tunnel syndrome: a case report. IJMDC. 2023; 7(4): 742-744. doi:10.24911/IJMDC.51-1672344142


Vancouver/ICMJE Style

Shash HA, Alghamdi AA, Shash HA, Almarzouq SF. Hypothenar fat pad flap to prevent ecurrence of carpal tunnel syndrome: a case report. IJMDC. (2023), [cited March 22, 2023]; 7(4): 742-744. doi:10.24911/IJMDC.51-1672344142


Harvard Style

Shash, H. A., Alghamdi, . A. A., Shash, . H. A. & Almarzouq, . S. F. (2023) Hypothenar fat pad flap to prevent ecurrence of carpal tunnel syndrome: a case report. IJMDC, 7 (4), 742-744. doi:10.24911/IJMDC.51-1672344142


Turabian Style

Shash, Hani A., Abdulrahman A. Alghamdi, Hayam A. Shash, and Sawsan F. Almarzouq. 2023. Hypothenar fat pad flap to prevent ecurrence of carpal tunnel syndrome: a case report. International Journal of Medicine in Developing Countries, 7 (4), 742-744. doi:10.24911/IJMDC.51-1672344142


Chicago Style

Shash, Hani A., Abdulrahman A. Alghamdi, Hayam A. Shash, and Sawsan F. Almarzouq. "Hypothenar fat pad flap to prevent ecurrence of carpal tunnel syndrome: a case report." International Journal of Medicine in Developing Countries 7 (2023), 742-744. doi:10.24911/IJMDC.51-1672344142


MLA (The Modern Language Association) Style

Shash, Hani A., Abdulrahman A. Alghamdi, Hayam A. Shash, and Sawsan F. Almarzouq. "Hypothenar fat pad flap to prevent ecurrence of carpal tunnel syndrome: a case report." International Journal of Medicine in Developing Countries 7.4 (2023), 742-744. Print. doi:10.24911/IJMDC.51-1672344142


APA (American Psychological Association) Style

Shash, H. A., Alghamdi, . A. A., Shash, . H. A. & Almarzouq, . S. F. (2023) Hypothenar fat pad flap to prevent ecurrence of carpal tunnel syndrome: a case report. International Journal of Medicine in Developing Countries, 7 (4), 742-744. doi:10.24911/IJMDC.51-1672344142


Share this article

Click the icon of the social media platform on which you would like to share this article.

Article Statistics

Request permissions

If you wish to reuse any part or all of this article please contact the copyright holder, contact@ijmdc.com.

Copyright ©2023 Discover STM Publishing. All Rights Reserved.