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This study focuses on late complications at or near the palmar incision after carpal tunnel surgery. The authors attempted to determine the incidence of incisional problems — including scar tenderness, positive Tinel’s sign, and “pillar pain” — by using specific clinical examination modalities. They retrospectively reviewed the charts of 55 hands in 50 patients treated with carpal tunnel surgery performed by the same surgeon. The patients had routine follow-up visits with specific attention to documenting problems with the incision.
Minimum follow-up was 12 months; mean follow-up, 20 months. The authors identified a positive Tinel’s sign in three hands (5.5%), scar tenderness in four hands (7.3%), and pillar pain in seven hands (12.7%). They…