In-continuity neuroma of the median nerve after surgical release for carpal tunnel syndrome: case report

Depaoli, Remigio; Coscia, D.; Alessandrino, Francesco

doi:10.1007/s40477-014-0127-0

Cited by 6 publications

(3 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Neuroma formation from injury to one of these branches may also contribute to scar hypersensitivity. 42,43 Both endoscopic and open approaches may be used for CTR. 38e41 The length of the incision varies, but often it is less than 4 cm and limited to the palm.…”

Section: Discussionmentioning

confidence: 99%

Patterns of Ulnar Nerve Arborization in the Palm: Clinical Implications for Nerve Decompression in the Hand and Wrist

Verhiel

Hooven

Garg

et al. 2019

Journal of Hand Surgery Global Online

View full text Add to dashboard Cite

The purposes of this study were to examine variations and frequencies of the arborization patterns and communicating branches of the ulnar nerve in the palm, review existing literature, and relate these findings to nerve decompression in the hand and wrist. Methods: The arborization pattern of the ulnar nerve near Guyon canal was examined in 18 cadaver hands and described according to the classification of Murata et al. Communicating branches between the ulnar and median nerves were described according to the classification of Bas and Kleinert. We measured the specific distance from the wrist flexion crease to the origin of the communicating branch and the angle of the communicating branch with the originating nerve. Results: In 13 of 18 hands (72%), a type 1 arborization pattern was found; in 4 hands (22%), there was a type 2 pattern; and in 1 hand (6%), a branching pattern not previously described was found. In 11 of 18 hands (61%), a communicating branch was observed between the ulnar and median nerves. The branch ran from the ulnar to the median nerve (type 1) in 10 hands (56%); the connection was plexiform (type 4) in one hand (5.6%). The communicating branch originated at a median distance of 1 mm from the distal edge of the transverse carpal ligament and had a median angle of 42.5 (interquartile range, 40 to 45). Conclusions: Variations in arborization patterns of the ulnar nerve and the existence of communicating branches between the ulnar and median nerves in the palm are common and may lead to the atypical distribution of symptoms and unforeseen risks during hand surgery. Clinical relevance: This study provides a comprehensive overview of previous findings and relates these findings to current clinical practice. Knowledge about variations in arborization patterns of the ulnar nerve and communicating branches between the ulnar and median nerves in the palm optimizes diagnoses and minimizes specific surgical risks in hand surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Patterns of Ulnar Nerve Arborization in the Palm: Clinical Implications for Nerve Decompression in the Hand and Wrist

Verhiel

Hooven

Garg

et al. 2019

Journal of Hand Surgery Global Online

View full text Add to dashboard Cite

show abstract

“…Depaoli et al reported two patients with CTS who still had local pain and paresthesia after decompression surgery. Ultrasound examination showed that there was a schwannoma related to the median nerve in the carpal canal, and the patients’ symptoms were relieved after surgical resection ( 16 ).…”

Section: Discussionmentioning

confidence: 99%

B-Mode ultrasound imaging in diagnosing carpal tunnel syndrome: an auxiliary diagnostic tool for hand surgeons

Chen,

Zou,

Xia

et al. 2024

Front. Neurol.

View full text Add to dashboard Cite

ObjectiveThe purpose of this article is to explore the effectiveness of B-Mode ultrasound as an auxiliary diagnostic tool for carpal tunnel syndrome (CTS). It aims to demonstrate the advantages of B-Mode ultrasound, including its non-invasive nature and its ability to provide real-time imaging, in localizing nerve compression and predicting postoperative outcomes.MethodsThe study included 40 patients who were subjected to preoperative B-ultrasonography. The approach focused on evaluating the consistency of B-Mode ultrasound results with intraoperative findings. It also assessed the importance of employing standardized imaging techniques and emphasized the need for cooperation between hand surgeons and sonographers for accurate diagnosis.ResultsB-Mode ultrasound findings in the study were consistent with intraoperative observations, indicating its reliability. Additionally, B-Mode ultrasound was able to identify other anatomical abnormalities within the carpal canal that may contribute to CTS symptoms, such as persistent median arteries, median nerve bifurcation, and space-occupying lesions like cysts and tumors.ConclusionThe article concludes that B-Mode ultrasound should be considered a valuable supplementary diagnostic tool for CTS, particularly in instances where clinical signs and electrophysiological studies do not offer clear results. However, it should not replace established diagnostic methods for CTS.

show abstract

“…[11] In another case, they reported a neuroma following the median nerve injury after operation. [12] Disclosures Informed Consent: Written informed consent was obtained from the patient who participated in this study. …”

Section: Discussionmentioning

confidence: 99%

A Case of Work-Induced Carpal Tunnel Syndrome

Yurt¹,

Türk²

2017

EJMI

View full text Add to dashboard Cite

In-continuity neuroma of the median nerve after surgical release for carpal tunnel syndrome: case report

Cited by 6 publications

References 8 publications

Patterns of Ulnar Nerve Arborization in the Palm: Clinical Implications for Nerve Decompression in the Hand and Wrist

Patterns of Ulnar Nerve Arborization in the Palm: Clinical Implications for Nerve Decompression in the Hand and Wrist

B-Mode ultrasound imaging in diagnosing carpal tunnel syndrome: an auxiliary diagnostic tool for hand surgeons

A Case of Work-Induced Carpal Tunnel Syndrome

Contact Info

Product

Resources

About