Delayed Repair of Severed Thenar Branch with Transligamentous Variation after Open Carpal Tunnel Release
| Autor: | Cheol-U Kim, Chul-Hyung Lee |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Time Factors Electromyography business.industry General Medicine Middle Aged Plastic Surgery Procedures Decompression Surgical musculoskeletal system medicine.disease Carpal Tunnel Syndrome Median Nerve Surgery body regions Delayed repair Postoperative Complications Peripheral Nerve Injuries Female patient Carpal tunnel release Humans Medicine Female business Carpal tunnel syndrome Follow-Up Studies |
| Zdroj: | The Journal of Hand Surgery (Asian-Pacific Volume). 24:494-497 |
| ISSN: | 2424-8363 2424-8355 |
| DOI: | 10.1142/s2424835519720214 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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