Anatomic variations of the median nerve in carpal tunnel release
Φόρτωση...
Ημερομηνία
Συγγραφείς
Beris, A. E.
Lykissas, M. G.
Kontogeorgakos, V. A.
Vekris, M. D.
Korompilias, A. V.
Τίτλος Εφημερίδας
Περιοδικό ISSN
Τίτλος τόμου
Εκδότης
Περίληψη
Τύπος
Είδος δημοσίευσης σε συνέδριο
Είδος περιοδικού
peer-reviewed
Είδος εκπαιδευτικού υλικού
Όνομα συνεδρίου
Όνομα περιοδικού
Clin Anat
Όνομα βιβλίου
Σειρά βιβλίου
Έκδοση βιβλίου
Συμπληρωματικός/δευτερεύων τίτλος
Περιγραφή
Carpal tunnel syndrome (CTS) is a well-known clinical entity. Release of the transverse carpal ligament is considered to be the treatment of choice. Both open and endoscopic release of the transverse carpal ligament in CTS has yielded satisfactory results. Although these procedures are very common in surgical practice, inadequate release and intraoperative damage to neural elements are very frustrating complication for both the patient and the surgeon. The purpose of this study was to demonstrate incidental intraoperative findings of variations of the standard median nerve anatomy. We obtained incidental intraoperative identification of median nerve variations in 110 consecutive patients operated with open release of the transverse carpal ligament in CTS. Using the Amadio classification, we found intraoperatively variations of median nerve at the wrist in 11 patients. In three patients, there was an aberrant sensory branch arising from the ulnar side of the median nerve and piercing the ulnar margin of the transverse carpal ligament. Neural variations arising from the ulnar aspect of the median nerve were common and could be a cause of iatrogenic injury during endoscopic or open release. Surgeons should be aware of anomalous branches, which should be recognized and separately decompressed if needed.
Περιγραφή
Λέξεις-κλειδιά
Adult, Carpal Tunnel Syndrome/*surgery, Female, Humans, Male, Median Nerve/*anatomy & histology, Middle Aged, Retrospective Studies
Θεματική κατηγορία
Παραπομπή
Σύνδεσμος
http://www.ncbi.nlm.nih.gov/pubmed/18567020
http://onlinelibrary.wiley.com/store/10.1002/ca.20650/asset/20650_ftp.pdf?v=1&t=h0mculvg&s=9c2b1ad7312a43e7e579e3047e5e7496ccd4c5bc
http://onlinelibrary.wiley.com/store/10.1002/ca.20650/asset/20650_ftp.pdf?v=1&t=h0mculvg&s=9c2b1ad7312a43e7e579e3047e5e7496ccd4c5bc
Γλώσσα
en
Εκδίδον τμήμα/τομέας
Όνομα επιβλέποντος
Εξεταστική επιτροπή
Γενική Περιγραφή / Σχόλια
Ίδρυμα και Σχολή/Τμήμα του υποβάλλοντος
Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής