The Upper Hand: Chuck & Chris Talk Hand Surgery Revision Surgery for Carpal Tunnel and Cubital Tunnel Syndrome: Chris Dy on The Resident Review Podcast
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Jan 4, 2026 Chris Dy, an esteemed associate professor and hand surgeon, shares his insights on the intricate world of revision surgeries for carpal and cubital tunnel syndromes. He delves into the unique challenges of persistent symptoms and the diagnostic process, including the role of EMG and ultrasound. Chris outlines a specialized approach for revision surgeries, discussing techniques, common pitfalls, and surgical strategies. He even lightens the mood with anecdotes about OR culture and his music preferences, making this a captivating listen for medical professionals and enthusiasts alike.
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Cubital And Carpal Tunnel Are Different
- Cubital tunnel and carpal tunnel are distinct problems with different failure modes and recurrence risks.
- Cubital tunnel involves traction and instability, so its revision rates and counseling differ from carpal tunnel.
Re-evaluate Diagnosis For Persistent Symptoms
- For persistent symptoms, revisit the diagnosis and consider proximal compression or cervical radiculopathy.
- For recurrent symptoms, evaluate for incomplete release or another overlapping compression point.
Use Tests Selectively — Trust Clinical Pattern
- Skip electrodiagnostics for classic textbook carpal tunnel and use ultrasound or clinical criteria instead.
- Get nerve tests or ultrasound when diagnosis is uncertain or when managing cubital tunnel.