Unusual Triad of Bifid Median Nerve, Persistent Median Artery, and Aberrant Muscle Causing Carpal Tunnel Syndrome: A Case Report.
Journal
JBJS case connector
ISSN: 2160-3251
Titre abrégé: JBJS Case Connect
Pays: United States
ID NLM: 101596828
Informations de publication
Date de publication:
Historique:
entrez:
11
8
2020
pubmed:
11
8
2020
medline:
27
4
2021
Statut:
ppublish
Résumé
A 15-year-old boy presented with intermittent pain, in the left nondominant hand, for the past 3 years. He recently developed numbness in the radial 3 and a half digits. Ultrasonography revealed a bifid median nerve (BMN) with a persistent median artery (PMA). An open carpal tunnel release was performed, which revealed an accessory lumbrical muscle in addition to the BMN and a PMA. The surgeon should be aware of the possible coexistence of 3 anomalous structures while performing carpal tunnel release in a young patient.
Identifiants
pubmed: 32773698
doi: 10.2106/JBJS.CC.19.00468
pii: 01709767-202009000-00036
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e19.00468Références
Guan W, Lao J, Gu Y, Zhao X, Rui J, Gao K. Case-control study on individual risk factors of carpal tunnel syndrome. Exp Ther Med. 2018;15(3):2761-6.
Takata SC, Roll SC. Identification of aberrant muscle bellies in the carpal tunnel using sonography. J Diagn Med Sonogr. 2019;35(1):62-8.
Diogo R, Siomava N, Gitton Y. Development of human limb muscles based on whole-mount immunostaining and the links between ontogeny and evolution. Development. 2019;146(20):dev180349.
Lanz U. Anatomical variations of the median nerve in the carpal tunnel. J Hand Surg Am. 1977;2:44-53.
Klauser AS, Halpern EJ, Faschingbauer R, Guerra F, Martinoli C, Gabl MF, Arora R, Bauer T, Sojer M, Löscher WN, Jaschke WR. Bifid median nerve in carpal tunnel syndrome: assessment with US cross-sectional area measurement. Radiology. 2011;259(3):808-15.
Al-Qattan MM, Al-Zahrani K, Al-Omawi M. The bifid median nerve re-visited. J Hand Surg Eur Vol. 2009;34(2):212-4.
Feldkamp MM, Gentili F, Hudson AR, Guha A. A persistent median artery causing carpal tunnel syndrome in a patient with chronic renal failure: case report. Neurosurgery. 1995;37(1):140-3.
Gassner EM, Schocke M, Peer S, Schwabegger A, Jaschke W, Bodner G. Peristent median artery in the carpal tunnel: color Doppler ultrasonographic findings. J Ultrasound Med. 2002;21:455-61.
Still JM Jr, Kleinert HE. Anomalous muscles and nerve entrapment in the wrist and hand. Plast Reconstr Surg. 1973;52(4):394-400.
McClelland WB Jr, Means KR Jr. Palmaris profundus tendon prohibiting endoscopic carpal tunnel release: case report. J Hand Surg Am. 2012;37(4):695-8.
Batdorf NJ, Cantwell SR, Moran SL. Idiopathic carpal tunnel syndrome in children and adolescents. J Hand Surg Am. 2015;40(4):773-7.
Sookur PA, Naraghi AM, Bleakney RR, Jalan R, Chan O, White LM. Accessory muscles: anatomy, symptoms, and radiologic evaluation. Radiographics. 2008;28(2):481-99.
Tsuruo Y, Ueyama T, Ito T, Nanjo S, Gyoubu H, Satoh K, Iida Y, Nakai S. Persistent median artery in the hand: a report with a brief review of the literature. Anat Sci Int. 2006;81(4):242-52.
Ametewee K, Harris A, Samuel MS. Acute carpal tunnel syndrome produced by anomalous flexor digitorum superficialis indicis muscle. J Hand Surg Br. 1985;10:83-4.