Description:
Carpal tunnel syndrome is the most common compressive neuropathy of the upper extremity. While most patients improve with simple decompression, a subset continue to have persistent symptoms. This lecture will delve into proximal median nerve compression at the lacertus fibrosus as a cause of carpal tunnel failure. Participants will gain insights on diagnosis, treatment, and management of proximal median nerve compression. Occupational therapy practitioners will learn about the role of revision carpal tunnel to better interface with surgical colleagues in complex and difficult nerve pathologies.

Objectives:
At the conclusion of this course, participants will be able to:

1. Recognize atypical median nerve compression.
2. Describe the role of lacertus release in proximal compressive neuropathy.
3. Evaluate the indications for revision carpal tunnel and proximal median nerve decompression.

Speaker:

James D. Dieterich, M.D.
Hand & Upper Extremity Surgeon
Endeavor Health Orthopaedic & Spine Institute

James D. Dieterich, M.D. is a board-certified hand and upper extremity surgeon at Endeavor Health Orthopaedic & Spine Institute, specializing in chronic and acute conditions such as carpal tunnel, trigger finger, and complex fractures. Dr. Dieterich received his medical degree and completed his residency at Icahn School of Medicine at Mount Sinai in New York City. He fulfilled his fellowship at University of Chicago Medical Center. With a background as a collegiate athlete, he understands the impact of injury and recovery on daily life and performance. Dr. Dieterich takes a conservative approach to care, using the least invasive treatments possible and working collaboratively with clinicians and patients to help them return to the activities they love. He currently sees patients at Endeavor Health’s Chicago locations on the North Side in the Lakeview neighborhood and near Swedish Hospital.