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According to information obtained from the operating surgeon, a ctr-us (carpal tunnel release using ultrasound guidance) was performed in (b)(6) 2024 for severe cts (carpal tunnel syndrome), including proximally radiating pain.The procedure was uneventful with no device malfunction.Two weeks post-operatively, the cts symptoms had completely resolved.However, the patient reported new numbness in the 3rd webspace.The numbness persisted and an mri in (b)(6) 2025 demonstrated post-operative changes but no other abnormalities.The patient eventually developed some irritative symptoms (paresthesias) associated with the numbness.An exploration using an open carpal tunnel release approach was performed in (b)(6) 2025.Focal swelling (noted as a "knot") was noted, potentially indicative of a neuroma in continuity.However, there was no clear sign of injury.The physician excised the enlarged nerve segment and performed a connector assisted nerve repair.In the early post-operative period, the patient's paresthesias had already resolved, though she continued to have numbness in the third interspace.The physician plans to follow the patient and anticipates some recovery of sensation.
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