First Lumbrical Muscle Flap for Recurrence of Carpal Tunnel Syndrome: Anatomical Study and Surgical Technique
| Autor: | Blanca Del Campo Cereceda, Fernando Corella Montoya, Esther Fernández Tormos, Ricardo Larrainzar Garijo, Montserrat Ocampos Hernández, Teresa Vázquez Osorio |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
Economics and Econometrics medicine.medical_specialty RD1-811 first lumbrical muscle flap Neuritis Muscle flap 03 medical and health sciences 0302 clinical medicine Materials Chemistry Media Technology medicine Carpal tunnel Carpal tunnel syndrome 030222 orthopedics Vascular pedicle business.industry Forestry recurrence of carpal tunnel syndrome medicine.disease Median nerve Surgery medicine.anatomical_structure Physical Barrier 030101 anatomy & morphology Cadaveric spasm business muscle flap |
| Zdroj: | Revista Iberoamericana de Cirugía de la Mano, Vol 49, Iss 01, Pp 079-087 (2021) |
| ISSN: | 1698-8396 |
| DOI: | 10.1055/s-0041-1730391 |
| Popis: | Recurrence of carpal tunnel syndrome implies the reappearance of symptoms after release surgery. If the cause of recurrence is not an incomplete release, but a traction neuritis, the tendency is to add to the revision surgery of the carpal tunnel the use of flaps to cover the median nerve. These flaps establish a physical barrier between the nerve and the rest of the adjacent structures, preventing adhesions, and providing neovascularization and better nerve sliding.In the present work, we detail a revision surgery in which the first lumbrical muscle is used as a covering flap. This flap has two benefits. Firstly, it acts as a vascularized coverage for the median nerve (avoiding the formation of fibrosis and favoring its sliding); secondly, a structure that takes up space is removed from the carpal tunnel, thus reducing the pressure within it.Along with the explanation of the technique, the present article provides a detailed description of the anatomical variability of the first lumbrical muscle and its vascularization, as well as the results of a cadaveric study on the location of the vascular pedicle of the first lumbrical muscle. |
| Databáze: | OpenAIRE |
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