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Relating applied strain to the type and severity of structural damage in the rat median nerve using second harmonic generation microscopy
Authors:Werner Robert A  Spiegelberg Teresa
Affiliation:Ann Arbor Veterans Health System, Ann Arbor, Michigan 48105, USA. rawerner@umich.edu
Abstract:Introduction: The objective of this study was to determine if the presence or absence of a palmaris longis tendon influenced the function of the median nerve across the wrist. The primary hypothesis was that the presence of a palmaris longus tendon would be associated with more median nerve entrapment at the wrist. Methods: This was a cross‐sectional study. Subjects were recruited at a screening of dental professionals. The median and ulnar sensory nerve latencies across the wrist (relative prolongation of the median compared with the ulnar) and the presence or absence of the palmaris longus tendon were the primary outcome measures. Results: A total of 462 subjects were recruited into the study of which 16.2% lacked a palmaris longus tendon. There was no difference in the median nerve function or the percentage with a 0.5 ms prolongation of the median sensory latency when comparing subjects with and without a palmaris longus tendon. Conclusions: The presence of a palmaris longus tendon does not influence the median nerve function across the wrist. Muscle Nerve 45: 895–896, 2012
Keywords:carpal tunnel syndrome  compression neuropathy  median nerve  palmaris longus  tendon
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