{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:40:17Z","timestamp":1790728817434,"version":"4.1.0"},"reference-count":46,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2012,1,19]],"date-time":"2012-01-19T00:00:00Z","timestamp":1326931200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2012,3]]},"abstract":"<jats:p>Surgical release of the transverse carpal ligament for the treatment of carpal tunnel syndrome (CTS) is, in general, a very successful procedure. Some patients, however, fail this standard release and have persistent or recurrent symptoms. Such recalcitrance may relate to incomplete release but more often relates to perineural or intraneural fibrosis of the median nerve. While there is no good treatment for intraneural fibrosis, numerous procedures have evolved in an attempt to treat perineural fibrosis which restricts nerve gliding. These include procedures to isolate the nerve from scar as well as procedures to bring neovascularization to the median nerve. This review describes the various surgical treatment options for recalcitrant CTS as well as their reported outcomes.<\/jats:p>","DOI":"10.1007\/s11552-012-9391-7","type":"journal-article","created":{"date-parts":[[2012,1,17]],"date-time":"2012-01-17T22:11:23Z","timestamp":1326838283000},"page":"23-29","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":43,"title":["Surgical Options for Recalcitrant Carpal Tunnel Syndrome with Perineural Fibrosis"],"prefix":"10.1177","volume":"7","author":[{"given":"Joshua M.","family":"Abzug","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sidney M.","family":"Jacoby","sequence":"additional","affiliation":[{"name":"Jefferson Medical College, Thomas Jefferson University, The Philadelphia Hand Center, 834 Chestnut St., Suite G114, Philadelphia, PA 19107, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. Lee","family":"Osterman","sequence":"additional","affiliation":[{"name":"Jefferson Medical College, Thomas Jefferson University, The Philadelphia Hand Center, 834 Chestnut St., Suite G114, Philadelphia, PA 19107, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2012,1,19]]},"reference":[{"key":"bibr1-s11552-012-9391-7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1002\/cne.903070102","volume":"307","author":"Archibald SJ","year":"1991","journal-title":"J Comp Neurol."},{"key":"bibr2-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1002\/jcp.1041440120"},{"key":"bibr3-s11552-012-9391-7","first-page":"52","volume":"38","author":"Bloem JJ","year":"1986","journal-title":"Neth J Surg."},{"key":"bibr4-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1002\/micr.1920090303"},{"key":"bibr5-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(96)80341-8"},{"key":"bibr6-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-007-9025-7"},{"key":"bibr7-s11552-012-9391-7","first-page":"232","volume":"41","author":"Cseuz KA","year":"1966","journal-title":"Mayo Clin Proc."},{"key":"bibr8-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(93)90105-O"},{"key":"bibr9-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(84)80236-1"},{"key":"bibr10-s11552-012-9391-7","first-page":"50","volume":"37","author":"Dlabalova V","year":"1995","journal-title":"Acta Chir Plast."},{"key":"bibr11-s11552-012-9391-7","first-page":"181","volume":"38","author":"Fusetti C","year":"2009","journal-title":"Am J Orthop."},{"key":"bibr12-s11552-012-9391-7","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1097\/01.PRS.0000138808.77038.D7","volume":"115","author":"Goitz RJ","year":"2005","journal-title":"Plast Reconstr Surg."},{"key":"bibr13-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1984.03350150034017"},{"key":"bibr14-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0712(21)01101-X"},{"key":"bibr15-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.3109\/17453677508989243"},{"key":"bibr16-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-197203000-00009"},{"key":"bibr17-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-197203000-00008"},{"key":"bibr18-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(88)90196-7"},{"key":"bibr19-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1016\/0267-6605(92)90100-8"},{"key":"bibr20-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1055\/s-2006-924551"},{"key":"bibr21-s11552-012-9391-7","first-page":"75","volume":"2","author":"Mackinnon SE","year":"1991","journal-title":"Neurosurg Clin N Am."},{"key":"bibr22-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0712(21)00365-6"},{"key":"bibr23-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1016\/S0753-9053(87)80027-3"},{"key":"bibr24-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1142\/S0218810400000120"},{"key":"bibr25-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1016\/S0072-968X(77)80040-5"},{"key":"bibr26-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-198711000-00008"},{"key":"bibr27-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(92)90307-B"},{"key":"bibr28-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2006.02.024"},{"key":"bibr29-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1007\/BF02425069"},{"key":"bibr30-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198312000-00025"},{"key":"bibr31-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(10)80096-6"},{"key":"bibr32-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1002\/micr.1920161110"},{"key":"bibr33-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(96)80201-2"},{"key":"bibr34-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSB.2005.09.022"},{"key":"bibr35-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(96)80202-4"},{"key":"bibr36-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200106000-00031"},{"key":"bibr37-s11552-012-9391-7","first-page":"967","volume-title":"Operative nerve repair and reconstruction,","volume":"2","author":"Urbaniak JR","year":"1991"},{"key":"bibr38-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2001.22528"},{"key":"bibr39-s11552-012-9391-7","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1055\/s-2007-989475","volume":"40","author":"Vogelin E","year":"2008","journal-title":"Handchir Mikrochir Plast Chir."},{"key":"bibr40-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1016\/S0753-9053(86)80049-7"},{"key":"bibr41-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0712(21)00321-8"},{"key":"bibr42-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1000185"},{"key":"bibr43-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2000.0093"},{"key":"bibr44-s11552-012-9391-7","first-page":"161","volume":"51","author":"Zancolli EA","year":"1986","journal-title":"Rev Assoc Arg Ortop Traumatol."},{"key":"bibr45-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(88)90121-0"},{"key":"bibr46-s11552-012-9391-7","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199308000-00014"}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1007\/s11552-012-9391-7","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1007\/s11552-012-9391-7","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1007\/s11552-012-9391-7","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:25:28Z","timestamp":1777447528000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1007\/s11552-012-9391-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,1,19]]},"references-count":46,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2012,3]]}},"alternative-id":["10.1007\/s11552-012-9391-7"],"URL":"https:\/\/doi.org\/10.1007\/s11552-012-9391-7","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,1,19]]}}}