Additional value of ultrasound in the assessment of carpal tunnel syndrome in rheumatological daily practice. A case of persistent median artery thrombosis

2020 ◽  
Vol 87 (6) ◽  
pp. 666-667 ◽  
Author(s):  
Gianluca Smerilli ◽  
Jacopo Di Battista ◽  
Edoardo Cipolletta ◽  
Walter Grassi ◽  
Emilio Filippucci
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Daily Practice ◽  
Artery Thrombosis ◽  
Tunnel Syndrome ◽  
Median Artery ◽  
Additional Value

scholarly journals Thrombosis of persistent median artery as a cause of carpal tunnel syndrome : case report

2021 ◽  
Vol 87 (3) ◽  
pp. 529-532
Author(s):  
S Arnauw ◽  
G De Wachter
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Conservative Treatment ◽  
Carpal Tunnel ◽  
Treatment Options ◽  
Surgical Excision ◽  
Acute Onset ◽  
Complete Relief ◽  
Anatomical Variant ◽  
Tunnel Syndrome ◽  
Median Artery

Carpal tunnel syndrome (CTS) is a common peripheral neuropathy, caused by compression of the median nerve. Symptoms usually are present for months and aggravate over time. Acute onset of complaints and symptoms, like coldness of the hand, should raise awareness of a possible vascular cause of CTS.Persistent median artery (PMA) is a very rare anatomical variant of the blood supply of the upper limb. The presence of a thrombosed PMA is an extremely rare cause of CTS. In this article a case is presented in which the patient has carpal tunnel syndrome of his left hand, caused by a thrombosed persistent median artery. Conservative treatment, consisting of rest, ice applica- tion and non-steroidal anti-inflammatory drugs, failed. Surgical excision of the thrombosis and open exploration of the carpal tunnel was performed, with complete relief of symptoms. In literature different treatment options, like conservative treatment with antiplatelet therapy or surgical excision of the throm- bosis and decompression of the nerve, are described with good results. However up until now, no consensus exists about the golden standard in treatment of a thrombosed persistent median artery.

scholarly journals ENMG PROFILE OF PATIENTS WITH HAND PAIN COMPLAINTS

2020 ◽  
Vol 8 (1) ◽  
pp. 243-249
Author(s):  
Shahdevi NK ◽  
Kandhisa ◽  
H Machlusil ◽  
Neila R
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Neuromuscular Disorders ◽  
Daily Practice ◽  
Study Data ◽  
Research Subjects ◽  
Old Patients ◽  
Hand Pain ◽  
De Quervain ◽  
Tunnel Syndrome

Introduction: Hand pain is a complaint that often found in daily practice. Electroneuromyography (ENMG) examination has pivotal role neuromuscular disorders in hand pain. This study aims to determine ENMG profile of patients with hand pain complaints also its characteristics. Methods: This research is a descriptive observational study. Data were obtained by interviewing technique conducted in neurology polyclinic General Hospital of Dr. Saiful Anwar Malang (RSSA), comprises patient characteristic and their ENMG summaries. There were a total of 58 patients with hand complaint that fulfilled inclusion criteria. ENMG was conducted to all research subjects. Results: For 10 months (April 2017 – December 2017) there were 58 patients complained of hand pain, comprised 50 new patients (86%) and 8 old patients (13%). A total of 41 subjects (71%) were women and 17 subjects (29%) were men with complaints of unilateral hand 44 (76%) and bilateral 14 (24%) subjects. The major age group was 45-55 years (70%). The average occupation that experienced by patients was housewife (63%). Patients came with paresthesia as their most complaints (60%) with positive Tinnel sign found in 62% of patients and hypertension 34% and DM 24% as comorbids. ENMG was conducted to all patients with carpal tunnel syndrome (CTS) 44 patients (75%), polyneuropathy 6 patients (10%), de Quervain 6 patients (10%) as results. Conclusion: The most ENMG results of patients with hand pain complaints is carpal tunnel syndrome.

A PERSISTENT MEDIAN ARTERY AND BIFID MEDIAN NERVE IN THE SETTING OF CARPAL TUNNEL SYNDROME

2012 ◽  
Vol 15 (02) ◽  
pp. 1272004
Author(s):  
M. Lee Spangler ◽  
Emad Almusa ◽  
Cynthia Britton
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Imaging Features ◽  
Anatomic Variants ◽  
Tunnel Syndrome ◽  
Median Artery

We present a case of bifid median nerve and a persistent median artery presenting in the setting of carpal tunnel syndrome. The importance of these anatomic variants and their imaging features and workup are discussed.

scholarly journals Incidental finding of a persistent median artery (palmar type) during a routine carpal tunnel decompression: a case report

2017 ◽  
Vol 99 (7) ◽  
pp. e204-e205
Author(s):  
J Butt ◽  
AK Ahluwalia ◽  
A Dutta
Keyword(s):  
Case Report ◽  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Incidental Finding ◽  
Surgical Decompression ◽  
Iatrogenic Injury ◽  
Palmar Fascia ◽  
Tunnel Syndrome ◽  
Median Artery

Carpal tunnel syndrome is characterised by compression of the median nerve. The mainstay of treatment is surgical decompression. This case report highlights the occurrence of a persistent median artery, which could complicate surgery. A 55-year-old woman underwent carpal tunnel decompression. An incidental finding of a large-calibre persistent median artery, which was superficial to the flexor sheath, could have been damaged. This was carefully retracted and the procedure was completed, without any complications. Several studies have shown the prevalence of persistent median artery to range from 1.1–27.1%. It is usually found deep to the flexor retinaculum but in this case it was found to be just beneath the palmar fascia. There is increased chance of iatrogenic injury with this particular variant. Surgeons performing the procedure should be mindful of this variation, because accidental damage could result in devastating consequences to the hand.

Patent Median Artery As a Cause of Carpal Tunnel Syndrome*

1981 ◽  
Vol 7 (3) ◽  
pp. 236-238
Author(s):  
Elliott B. Lavey ◽  
Robert M. Pearl
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Tunnel Syndrome ◽  
Median Artery

scholarly journals Thrombosis of the persistent median artery as a cause of carpal tunnel syndrome – case study

2012 ◽  
Vol 12 (51) ◽  
pp. 487-492 ◽  
Author(s):  
Ludomira Rzepecka‑Wejs ◽  
◽  
Aleksandra Multan ◽  
Aleksandra Konarzewska ◽  
◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Tunnel Syndrome ◽  
Median Artery

Carpal tunnel syndrome caused by thrombosis of the median artery: importance of high-resolution ultrasonography for diagnosis

2002 ◽  
Vol 97 (2) ◽  
pp. 471-473 ◽  
Author(s):  
Henrich Kele ◽  
Raphaela Verheggen ◽  
Carl Detlev Reimers
Keyword(s):  
High Resolution ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Rare Case ◽  
Content Type ◽  
The Third ◽  
Tunnel Syndrome ◽  
Median Artery ◽  
High Resolution Ultrasonography ◽  
Fine Print

✓ The rare case of a patient with carpal tunnel syndrome caused by thrombosis of a persistent median artery is presented. Progressive pain in the wrist and dysesthesias in the third and fourth fingers were the atypical complaints. High-resolution ultrasonography revealed a bifid median nerve that was compressed by an occluded median artery. The intraoperative findings are described, and emphasis is placed on the importance of using high-resolution ultrasonography for presurgical diagnosis.

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