The Effect of Dividing Muscles Superficial to the Transverse Carpal Ligament on Carpal Tunnel Release Outcomes

Gong, Hyun Sik; Oh, Joo Han; Kim, Woo Sung; Kim, Sae Hoon; Rhee, Seung Hwan; Baek, Goo Hyun

doi:10.1016/j.jhsa.2011.06.008

Cited by 6 publications

(3 citation statements)

References 20 publications

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“…In Gong et al study, 51% of the Koreans had some muscle fibers over or within the TCL [13]. Hollevoet et al found that muscle fiber in Caucasians had a width of 2-10 mm in 35% and 39% in both operated patients and cadaveric hands and a width of more than 10 mm in 11% and 15%, respectively [14].…”

Section: Discussionmentioning

confidence: 95%

“…TCM fibers may also be detected on the palmar surface of the flexor retinaculum and may have a role in CTS etiology [8,9,16]. Gong et al supported that muscle fiber having a width up to 10 mm may represent ulnar extensions from thenar muscles or radial extensions from hypothenar muscles [13]. Occasionally, thenar and hypothenar muscles may blend across the flexor retinaculum.…”

Section: Discussionmentioning

confidence: 99%

“…Al-Qattan reported the presence of hypertrophic muscles over the TCL and their dissection over the radial side of the ligament, as the thenar motor branch is expected to be within the radial side of the hypertrophic muscle [15]. However, there have been reports, in which the motor branch originated from the medial side of the MN [13]. Thus, a careful layer-by-layer incision of the muscle is necessary.…”

Section: Discussionmentioning

confidence: 99%

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A Transverse Carpal Muscle Causing Carpal Tunnel Syndrome

Natsis

Piagkou

Koimtzis

et al. 2020

Cureus

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Accessory and atypical muscles of the upper limb are common, whereas symptomatic variations presenting with carpal tunnel syndrome (CTS) are rare. A rare unilateral accessory transverse carpal muscle located palmar to the transverse carpal ligament is described. The accessory muscle, associated with CTS clinical manifestations in a 38-year-old Greek male worker, can be quite problematic during CTS operation. The current case emphasizes the importance of meticulous knowledge of the variable anatomy of the carpal tunnel (CT) area, since the accessory muscles may be accompanied by ectopic motor branches and a high risk of iatrogenic injury. Recognition and careful evaluation of accessory muscles may enhance a surgeon's ability to carry out a safer and successful CT approach.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A Transverse Carpal Muscle Causing Carpal Tunnel Syndrome

Natsis

Piagkou

Koimtzis

et al. 2020

Cureus

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Using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement to Assess Reporting of Observational Trials in Hand Surgery

Sorensen¹,

Wojahn²,

Manske³

et al. 2013

The Journal of Hand Surgery

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Purpose To use the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement checklist to critically evaluate the change in quality of observational trial reporting in the Journal of Hand Surgery American between 2005 and 2011. Methods A cross-sectional analysis of observational studies published in Journal of Hand Surgery American was designed to sample 2 6-month periods of publication (March 2005 - August 2005 and June 2011 - November 2011). Fifty-one items were extracted from the STROBE statement for evaluation. Overall STROBE compliance rates for articles and specific checklist items were determined. Final compliance percentages from each period were compared by Student t-testing. Changes in item compliance over time were quantified. Results Overall compliance with the STROBE statement was 38% (range, 10-54%) in 2005 and 58% (range, 39%-85%) for 2011 manuscripts representing a significant improvement. Seventy-five percent or greater of articles (2005/2011) provided the explicit reporting of background (100%/97%), follow-up time (85%/94%), overall interpretation of data (100%/94%), and results of similar studies (95%/89%). Twenty-five percent or less of articles provided the study design in the abstract (10%/20%), a clear description of the study's setting (10%/23%), the handling of missing data (0%/6%), the potential directions of bias (5%/11%) and use of a power analysis (0%/17%). Eighty-six percent (44/51) of items were more frequently satisfied in 2011 articles compared to 2005 publications. Absolute increases in compliance rates of ≥40% were noted in 10 items (20%) with no worsening in compliance for an individual item over 6%. Discussion The overall quality of the reporting of observational trials in Journal of Hand Surgery American improved from 2005 to 2011. Current observational trials in hand surgery could still benefit from increased reporting of methodologic details including the use of power analyses, the handling of missing data, and consideration of potential bias.

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