Anatomical Relationships among the Median Nerve Thenar Branch, Superficial Palmar Arch, and Transverse Carpal Ligament

2007 ◽  
Vol 120 (3) ◽  
pp. 713-718 ◽  
Author(s):  
Justin M. Sacks ◽  
Yur-Ren Kuo ◽  
Kia Mclean ◽  
Ronit Wollstein ◽  
W P. Andrew Lee
1999 ◽  
Vol 92 (Supplement) ◽  
pp. S79
Author(s):  
J. M. Farber ◽  
J. J. Dietz ◽  
T. L. Pope ◽  
O. J. Moy ◽  
J. W. Backstrom ◽  
...  

2009 ◽  
Vol 34 (4) ◽  
pp. 506-510 ◽  
Author(s):  
K. K. TEH ◽  
E. S. NG ◽  
D. S. K. CHOON

This cadaveric study evaluates the margin of safety and technical efficacy of mini open carpal tunnel release performed using Knifelight® (Stryker Instruments) through a transverse 1 cm wrist incision. A single investigator released 32 wrists in 17 cadavers. The wrists were then explored to assess the completeness of release and damage to vital structures including the superficial palmar arch, palmar cutaneous branch and recurrent branch of the median nerve. All the releases were complete and no injury to the median nerve and other structures were observed. The mean distance of the recurrent motor branch to the ligamentous divisions was 5.7 ± 2.4 mm, superficial palmar arch was 8.7 ± 3.1 mm and palmar cutaneous branch to the ligamentous division was 7.2 ± 2.4 mm. The mean length of the transverse carpal ligament was 29.3 ± 3.7 mm. Guyon’s canal was preserved in all cases.


2017 ◽  
Vol 3 (1) ◽  
Author(s):  
Georgi Kotov ◽  
Alexandar Iliev ◽  
Georgi P. Georgiev ◽  
Boycho Landzhov

2012 ◽  
Vol 28 (04) ◽  
pp. 251-256 ◽  
Author(s):  
Shen Liu ◽  
Jun-Jian Liu ◽  
Sheng-He Liu ◽  
Zheng-Dong Cai ◽  
Kevin Chung ◽  
...  

2018 ◽  
Vol 10 (01) ◽  
pp. 052-053
Author(s):  
Feiran Wu ◽  
Chye Ng

AbstractWe report an unusual anatomical variant of the palmar cutaneous branch (PCB) of the median nerve in a 46-year-old man presenting with recurrent carpal tunnel syndrome. At surgery, after neurolysis, the PCB was visualized arising at the level of the proximal margin of the transverse carpal ligament, mimicking the appearance of the recurrent motor branch. To date, there has been no description of this branch arising at this level. We aim to remind surgeons of this variation and highlight the importance of maintaining vigilance to avoid iatrogenic nerve injury.


1985 ◽  
pp. 74-75 ◽  
Author(s):  
Herbert Lippert ◽  
Reinhard Pabst

2019 ◽  
pp. 989-994
Author(s):  
Antony Hazel ◽  
Neil F. Jones

Conventional open carpal tunnel release surgery is one of most successful procedures in hand surgery and has been demonstrated to be an effective treatment for carpal tunnel syndrome. However, a known sequelae in some individuals who undergo the procedure is “pillar” pain. In an effort to avoid this condition and help people return to work more quickly, the endoscopic technique was developed. Endoscopic carpal tunnel release offers a minimally invasive alternative to other traditional techniques with similar outcomes. By placing the incision proximal to the transverse carpal ligament there is potential for decreased scar sensitivity and pillar pain. The technique is technically demanding. The superficial palmar arch and common digital nerve to the ring and middle fingers are at risk for injury during the procedure. With adherence to anatomical landmarks and the proper visualization, the surgery may be safely performed.


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