Spoiler alert, if they get better with a corticosteroid injection, they may be more happy with their revision carpal tunnel release. On today’s episode I read through an article from journal of hand surgery December 2, 2025 edition we review an article on outcomes after revision carpal tunnel releasethe thing I took away from the article though we’re talking about a specific group of patients with median time to recurrence at 1.2 years and probably the biggest Takeaway is be aware of the incomplete release

I continue on my journey to learn stuff. This is a surgery. I want to get much more familiar with. I read the whole dang article.

Today we start our back to basic series. I discuss volar locking plates. I finally learned the history of the word VOLAR. I’m very pleased with myself. I’m reading all alone in the bunker peaceful happy.

I ramble on about bone healing and strain and we look at the works of PERREN et al.

Thank you to our sponsors at tourniquet time coffee, anytime is a good time for tourniquet time coffee.

In this new segment called tourniquet time shorts, we discussed the origin of the phrase Wallerian degeneration

Today we start on our TECHISODE series

I talk about polyethylene glycol, PEG, and it’s used in nerve repair, nerve fusion

Today we continue on our series of “welcome to the office “ .On this episode, I talk you through the problem of cubital tunnel syndrome what you might be experiencing and how we walk through the problem in the office

Today I read a passage from the book mortal lessons, notes on the art of surgery by Dr. Richard SELZER. I find this story, amazing and beautiful. I’m not sure. A better story has found its way to me in my lifetime.

There are no sponsors on today’s episode as as it is a special reading from mortal lessons a story about the Dr to the Dalai Lama. We will not talk about tourniquet time coffee we will not talk about it. It’s Rich chocolate and caramel aromas. We will not talk about it’s ground to order delivery to your door service all and respect to this story.

We talk TMR and RPNI

I borrow information from several articles and try to put my Spin on it. Hopefully, these sources are good.

Jessen KR, Mirsky R. The repair Schwann cell and its function in regenerating nerves. J Physiol. 2016;594(13):3521–3531.

Shamoun F, et al. Target Receptors of Regenerating Nerves: Neuroma Formation and Beyond. Front Mol Neurosci. 2022;15:859221.

Chappell AG, et al. Targeted Muscle Reinnervation—an Up-to-Date Review. Plast Reconstr Surg Glob Open. 2025;13(4):e5693.

Peters BR, et al. Targeted muscle reinnervation for the management of pain in multiple limb amputees. Plast Reconstr Surg. 2020;146(4):651e–661e.

Hooper RC, et al. Regenerative Peripheral Nerve Interfaces for the Treatment of Postamputation Neuroma Pain. Plast Reconstr Surg. 2020;146(4):719–729.

Best CSW, et al. Regenerative Peripheral Nerve Interface (RPNI) Surgery for Postamputation Pain. Neurosurg Clin N Am. 2024;35(1):71–84.

Today I go through what you might experience if you come into our office for carpal tunnel syndrome

I read the tale of the nerve after injury and repair

Today I read an article about operating room fires and skin preparation, I try to get some clarity on what I’m doing in the operating room and is it the optimum for the patient?

I read out loud myself the recommendations from the BUNCKE clinic on replantation

I am particularly interested in their postoperative protocol

I read the consensus paper on TMR from EBERLIN et al while drinking a tourniquet time, coffee

In this short episode today, I talk about the BLIX curve as I’m preparing to do attendance transfer in a WALANT patient. EIP to EPL let’s see how we do.

I continue on our reading series from textbook of hand surgery by Dr. Sterling Bunnell. We read about lunate and Perilunate dislocations, not much has changed.

Just a little rant in the morning before we start our day

On this episode, I read tourniquet time and hand surgery published at 1972 of the greats in the field Dr Adrian E flat I make a few comments but let the tech stand on its own

We continue with our reading of metabolic effects of tourniquet ischemia studied by nuclear magnetic residence spectroscopy

In this podcast where I read to myself from the remote recording studio, we look at the article by Newman 1984 Journal of bone and joint surgery. We read the abstract to get us started. We’ll get back to the body of the text later.