Figure Legend: Wound infection following carpal tunnel surgery.  This patient developed worsening pain one week after opening carpal tunnel release.  She was seen by her original surgeon, who was unimpressed by her physical findings and dismissed her as being narcotic seeking. She sought a second opinion, and at exploration later that day, was found to have pus throughout the carpal tunnel and tracking deep to the flexor tendons into the retroflexor space  (Parona's space). Deep wound infections are uncommon following  elective clean hand surgery, and the signs of a deep space infection may be subtle, requiring a high degree of suspicion for diagnosis.
 

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