scholarly journals Ulnar nerve palsy after open carpal tunnel decompression: Case report and review of the literature

2008 ◽  
Vol 41 (01) ◽  
pp. 73-75
Author(s):  
P. Yoong ◽  
A. Fattah ◽  
A. S. Flemming
Keyword(s):  
Ulnar Nerve ◽  
Carpal Tunnel ◽  
Simple Procedure ◽  
Carpal Tunnel Release ◽  
Review Of The Literature ◽  
Motor Branch ◽  
Ulnar Nerve Palsy ◽  
Wrist Anatomy ◽  
Hook Of Hamate ◽  
Open Carpal Tunnel Release

ABSTRACTopen carpal tunnel release is the commonest surgical treatment of median nerve compression at the wrist. although successful in most cases, there are well described complications. we report a case of laceration of the deep motor branch of the ulnar nerve at the level of the hook of hamate following a complicated carpal tunnel decompression. good surgical technique and knowledge of wrist anatomy are essential for performing this apparently simple procedure safely.

Can the outcome of open carpal tunnel release be predicted?: a review of the literature

2010 ◽  
Vol 80 (1-2) ◽  
pp. 50-54 ◽  
Author(s):  
Alexandra Turner ◽  
Frank Kimble ◽  
Károly Gulyás ◽  
Jennifer Ball
Keyword(s):  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Review Of The Literature ◽  
Open Carpal Tunnel Release

scholarly journals Mini-open Carpal Tunnel Release

2018 ◽  
Vol 19 (4) ◽  
pp. 21-27
Author(s):  
Paulo Henrique Pires De Aguiar ◽  
Carlos Alexandre Martins Zicarelli ◽  
Fabio V. C. Sparapani ◽  
Pedro Augusto De Santana Jr ◽  
Alexandros Theodoros Panagoupolos ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Neurological Deficits ◽  
Motor Branch ◽  
Tunnel Syndrome ◽  
Open Carpal Tunnel Release ◽  
Nerve Entrapment Syndrome ◽  
Mini Open

Introduction: Median nerve compression is the most common nerve entrapment syndrome. After carpal tunnel release, patients often complain about the scar cosmetic appearance. Objective: The aim of our study was to evaluate the clinical outcome, surgical technique and complications of mini-open carpal release. Methods: We reviewed data from 48 surgical procedures for Carpal Tunnel Syndrome in 32 patients at the Pinheiros Neurologicaland Neurosurgical Clinic in the period of 2000 and 2008. The mean age was 49 years-old. We used a 2 cm incision and microscopic technique to obtain meticulous access of the palmar hand anatomy with special attention to both the recurrent motor branch and palmar cutaneous nerve. Results: Twenty-two patients had total resolution of symptoms. Two patients had no change of neurological symptoms. During the follow up no infection or neurological deficits were observed. Conclusion: Mini-open is a safe and effective approach for carpal tunnel syndrome release. However detailed palmar hand anatomy is mandatory to prevent lesion of branching palmar nerve. The use of microscope is desirable to help identify important structures and avoid complications.

scholarly journals Report of a Transligamentous Ulnar Nerve Sensory Branch

Hand ◽  
2019 ◽  
Vol 15 (1) ◽  
pp. NP11-NP13
Author(s):  
Christina R. Vargas ◽  
Kyle J. Chepla
Keyword(s):  
Median Nerve ◽  
Ulnar Nerve ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Anatomical Variation ◽  
Dominant Male ◽  
Transverse Carpal Ligament ◽  
Anatomical Variant ◽  
Motor Branch ◽  
Right Hand

Background: Several anatomical variations of the median nerve recurrent motor branch have been described. No previous reports have described the anatomical variation of the ulnar nerve with respect to transverse carpal ligament. In this article, we present a patient with symptomatic compression of the ulnar nerve found to occur outside the Guyon canal due to a transligamentous course through the distal transverse carpal ligament. Methods: A 59-year-old, right-hand-dominant male patient presented with right hand pain, subjective weakness, and numbness in both the ulnar and the median nerve distributions. Electromyography revealed moderate demyelinating sensorimotor median neuropathy at the wrist and distal ulnar sensory neuropathy. At the time of planned carpal tunnel and Guyon canal release, a transligamentous ulnar nerve sensory common branch to the fourth webspace was encountered and safely released. Results: There were no surgical complications. The patient’s symptoms of numbness in the median and ulnar nerve distribution clinically improved at his first postoperative visit. Conclusions: We have identified a case of transligamentous ulnar nerve sensory branch encountered during carpal tunnel release. To our knowledge, this has not been previously reported. While the incidence of this variant is unknown, hand surgeons should be aware of this anatomical variant as its location puts it at risk of iatrogenic injury during open and endoscopic carpal tunnel release.

Delayed Repair of Severed Thenar Branch with Transligamentous Variation after Open Carpal Tunnel Release

2019 ◽  
Vol 24 (04) ◽  
pp. 494-497
Author(s):  
Chul-Hyung Lee ◽  
Cheol-U Kim
Keyword(s):  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Nerve Repair ◽  
Nerve Function ◽  
Motor Branch ◽  
Left Hand ◽  
Direct Repair ◽  
Tunnel Syndrome ◽  
Direct Nerve ◽  
Open Carpal Tunnel Release

A 49-year-old female patient with carpal tunnel syndrome at both hands was performed open carpal tunnel release. 4 months later, on the left hand, severance of the thenar branch was found by electromyography. On the 138th day, re-exploration was performed for direct nerve repair. During exploration, we identified the transligamentous variation of recurrent motor branch. Direct nerve repair was successful. At 6 months after direct repair, the nerve function began to return. At 2 years after direct repair, the nerve function has almost returned. There are some variations on the recurrent motor branch. And we overlooked transligamentous variation when we perform more decompression around the median nerve. It is important that recognize variations of thenar branch when we perform carpal tunnel release for not occurrence of severance of thenar branch.

Ulnar Neuropathy due to Volar/Ulnar Displacement of the Flexor Tendons after Open Carpal Tunnel Release: Case Report

2017 ◽  
Vol 22 (03) ◽  
pp. 388-390
Author(s):  
Katsuhisa Tanabe ◽  
Nao Miyamoto
Keyword(s):  
Case Report ◽  
Ulnar Nerve ◽  
Carpal Tunnel ◽  
Rare Complication ◽  
Carpal Tunnel Release ◽  
Ulnar Neuropathy ◽  
Compression Neuropathy ◽  
Flexor Tendons ◽  
Open Carpal Tunnel Release

Ulnar nerve neuropathy is a rare complication following the carpal tunnel release. Above all, compression neuropathy is much rare. We report an acute ulnar nerve neuropathy following open carpal tunnel release due to the volar and ulnar displacement of the flexor tendons from the carpal tunnel and review the literature.

Injury to the deep motor branch of the ulnar nerve during carpal tunnel release

1993 ◽  
Vol 18 (6) ◽  
pp. 1038-1040 ◽  
Author(s):  
Andrew L. Terrono ◽  
Mark R. Belsky ◽  
Paul G. Feldon ◽  
Edward A. Nalebuff
Keyword(s):  
Ulnar Nerve ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Motor Branch

Carpal Tunnel Syndrome in Aberrant Muscle Syndrome: A Case Report and Review of the Literature

2018 ◽  
Vol 23 (02) ◽  
pp. 290-293 ◽  
Author(s):  
Jessica Steele ◽  
Christopher Coombs
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Review Of The Literature ◽  
First Case ◽  
Activating Mutation ◽  
Common Causes ◽  
Tunnel Syndrome ◽  
Open Carpal Tunnel Release ◽  
Aberrant Muscle

Aberrant Muscle Syndrome (AMS) is a rare congenital hand difference that is characterised by unilateral non-progressive muscular hyperplasia. The aetiology of aberrant muscle syndrome is not known, but a recently published case has shown a somatic PIK3CA activating mutation in a patient with AMS. Carpal tunnel syndrome (CTS) in children is rare. The most common causes are the mucopolysaccaridoses but space-occupying lesions have also been reported to cause CTS in children. We report the first case of CTS in a child with AMS successfully treated with open carpal tunnel release and excision of aberrant muscles.

scholarly journals Open Carpal Tunnel Release Under WALANT – Suitable for All Ages?

2021 ◽  
Author(s):  
Laura Lech ◽  
Sebastian Leitsch ◽  
Christian Krug ◽  
Mario Bonaccio ◽  
Elisabeth Haas ◽  
...  
Keyword(s):  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Open Carpal Tunnel Release
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