PL EN


Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników
2013 | 85 | 8 | 419-423
Tytuł artykułu

„Dangerous” Anatomic Varieties of Recurrent Motor Branch of Median Nerve

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Carpal tunnel release became one of the most common operations in the field of hand surgery. Many controversies has been made about frequency of the so-called dangerous variations of motor branch of the median nerve. Knowledge of all the anatomical variations motor branches is the duty of every surgeon dealing with the subject. The aim of the study was to present the incidence of dangerous variants of median nerve motor branch in the carpal tunnel based on both clinical experience and anatomical studies performed on 20 cadaver wrists. Material and methods. Between 2006-2012 during minimally open carpal tunnel release we made photographic documentation of all visible dangerous varieties of recurrent motor branches of the median nerve. We also studied 20 cadaver wrists in the Department of Anatomy Medical University in Wrocław. Results. Dangerous varieties of the motor branch of median nerve was found in three clinical cases and in one cadaver wrist. Also In one wrist we found one regular branche, which, however, has atypical two separate branches supplying the thenar muscles. Conclusions. Dangerous varieties of the motor branch of median nerve occur very rare in the population, but does not release from the fact that in each case special attention must be given.We also conclude that, at the minimally open carpal tunnel release procedure, the transverse carpal ligament should be released rather from the line of radial border of the 4th finger to minimize the risk of injury to the recurrent motor branch of median nerve
Wydawca

Rocznik
Tom
85
Numer
8
Strony
419-423
Opis fizyczny
Daty
wydano
2013-08-01
online
2013-09-05
Twórcy
  • Department of Limbs Replantation, Microsurgery and Hand Surgery at St. Hedwig Hospital in Trzebnica, elsaftawyahmed@gmail.com
  • Department of Anatomy, Medical University in Wrocław
  • Department of Limbs Replantation, Microsurgery and Hand Surgery at St. Hedwig Hospital in Trzebnica
  • Department of Limbs Replantation, Microsurgery and Hand Surgery at St. Hedwig Hospital in Trzebnica
Bibliografia
  • 1. Frank U, Giunta R, Krimmer H, Lanz U: Neueinbettung des N. medianus nach Vernarbung im Karpalkanal mit der Hypothenar - Fettgewebslappenplastik. Handchir Mikrochir Plast Chir 1999; 31: 317-22.
  • 2. Gelberman RH , Hergenroeder PT, Hargens AR et al.: The carpal tunnel syndrome. J Bone Jt Surg 1981; 63A: 380-83.
  • 3. Bonnel F,Mailhe P, Allieu Y, Rabischong P: The general anatomy and endoneural fascicular arrangement of the median nerve at the wrist. Anat Clin 1981; 2: 201-07.
  • 4. Dowdy PA, Richards RS , Mac Farlane RM : The palmar cutaneous branch of the median. J HandSurg 1994; 19A: 199-202.
  • 5. Lanz U: Anatomical variations of the median nerve in the carpal tunnel. J Hand Surg 1977; 2: 44-53.
  • 6. Poisel S: Ursprung und Verlauf des Ramusmuscularis des N. digitalis palmaris communis I (N. medianus). Chir Prax 1974; 18: 471-74.
  • 7. Tountas CP, Bihrle DM , Mac Donald CJ, BergmanRA: Variations of the median nerve in the carpal canal. J Hand Surg 1987 12 A: 708-12.
  • 8. Olave E, Prates JC, Gabrielli C, Pardi P: Morphometric studies of the muscular branch of the median nerve. J Anat 1996; 189: 445-49.[PubMed]
  • 9. Olave E, Prates JC, Gabrielli, C, Pardi P: Median artery and superficial palmar branch of the radial artery in the carpal tunnel. Scand J Plast ReconstrSurg 1997; 31: 13-16.[PubMed]
  • 10. Kozin SH : The anatomy of the recurrent branch of the median nerve. J Hand Surg 1998; 23A: 852-58.
  • 11. Johnson RK , Shrewsbury MM : Anatomical course of the thenar branch of the median nerve - usually in a separate tunnel through the transverse carpal ligament. J Bone Jt Surg 1970; 52A: 269-73.
  • 12. Pfeiffer KM , Nigst H: Ungewöhnliche Befunde bei der Carpaltunneloperation. Handchirurgie 1973; 5: 99-103.
  • 13. Ogden JA: An unusual branch of the median nerve. J Bone Jt Surg 1972; 54A: 1779-81.
  • 14. Amadio PC: Bifid median nerve with double compartment within the transverse carpal canal. J Hand Surg 1987; 12A: 366-68.
  • 15. Mizia E, Tomaszewski KA, Goncerz G et al.: Median nerve thenar motor branch anatomical variations. Folia Morphol (Warsz) 2012; 71: 183-86.
  • 16. Senanayake KJ, Salgado S, Fernando R: Course Pattern of the Muscular Branch of the Median Nerve in Sri Lankans Hand. Int J Morphol 2009; 4: 1059-61. Unusual course of median nerve. IJAV 2010; 3: 216-217.
  • 18. Jones SM , Stuart PR, Stothard J: Open carpal tunnel release. Does a vascularized hypothenar fat pad reduce wound tenderness? J Hand Surg 1997; 22B: 758-60.
  • 19. Natsis K, Karanassos MT , Papathanasiou E: A coexisting anatomical variation of median and ulnar nerves in a cadaver palm. Folia Morphol (Warsz) 2012; 71(4): 269-74.
  • 20. Ali E, Delamont RS , Jenkins D: Bilateral recurrent motor branch of median nerve neuropathy following long-distance cycling, Clin Neurophysiol. 2012 Nov 16. pi: S1388-2457(12)00713-4.[WoS]
  • 21. Ng CY , Talwalkar SC : Clinical images of the recurrent motor branch of the median nerve. JHand Surg Eur 2012; 37(3): 284-85.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_pjs-2013-0064
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.