Bifid median nerve as a determinant
of carpal tunnel syndrome recurrence after endoscopic
procedures. A case report |
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Authors: | C?Rossi Email author" target="_blank">P?CelloccoEmail author G?Costanzo |
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Institution: | (1) Via degli Orseolo, 29, I-00148 Rome, Italy;(2) Department of Locomotor System Diseases, University of L'Aquila, Coppito (AQ), Italy |
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Abstract: | A number of complications have been associated with endoscopic technique in treating carpal tunnel syndrome (CTS). We observed
a female patient who had previously undergone endoscopic surgery for CTS. Shortly after surgery, this patient complained of
pain, numbness and strength deficiency, as severe as it was before the operation. A new, open, surgical procedure was performed.
During this second-look surgery, we found a bifid median nerve, which divided into two branches at the second third of the
forearm, proximal to the flexor retinaculum. We strongly suggest a careful exploration of the median nerve in the carpal tunnel.
Moreover, we believe that an extensive preoperative assessment of median nerve morphology and function is mandatory prior
to endoscopic approach in treating CTS. |
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Keywords: | Carpal tunnel syndrome Median nerve neuropathy |
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