scholarly journals Acute carpal tunnel syndrome caused by thrombosed persistent median artery associated with bifurcated median nerve in a pregnant woman

2017 ◽  
pp. bcr-2017-221446
Author(s):  
Ayse Serap Akgun ◽  
Gulhan Ertan ◽  
Sila Ulus
Keyword(s):  
Pregnant Woman ◽  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Tunnel Syndrome ◽  
Median Artery ◽  
Acute 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.

Student Section

1977 ◽  
Vol 44 (3) ◽  
pp. 144-144
Author(s):  
Rosemary Weiss
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Clinical Picture ◽  
Neutral Position ◽  
Wrist Movement ◽  
Tunnel Syndrome ◽  
Median Artery

A closer look at splinting for carpal tunnel syndrome (CTS) is necessary, since it is suggested that there are two types of CTS. 1) neural CTS, with a typical clinical picture of injury of the median nerve and, 2) vascular CTS where the early dominant symptoms are ischemic due to compression of a) a persisting median artery and, b) the radial and ulnar arteries Preventing wrist movement and excessive gripping during the day, alleviates compression of the radial, ulnar and possibly persisting median artery, and the median nerve. Thus, a release phenomenon does not occur at night. It is suggested that the wrist be splinted in a functional splint during the day, and a resting splint during the night, supporting the wrist in both cases, in a neutral position.

Acute carpal tunnel syndrome secondary to thrombosis of a persistent median artery

1973 ◽  
Vol 38 (6) ◽  
pp. 774-777 ◽  
Author(s):  
John A. Maxwell ◽  
John J. Kepes ◽  
Lynn D. Ketchum
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Rare Case ◽  
Sudden Onset ◽  
Content Type ◽  
Local Tenderness ◽  
Tunnel Syndrome ◽  
Median Artery ◽  
Operative Findings ◽  
Acute Carpal Tunnel Syndrome

✓ A rare case of thrombosis of a persistent median artery as a cause of acute carpal tunnel syndrome is reported. The sudden onset of pain, local tenderness of the palm, and decreased sensation in the median nerve distribution were the symptoms. The operative findings and subsequent progress are described.

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