The superficial anatomical landmarks are not reliable for predicting the recurrent branch of the median nerve
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11130%2F20%3A10410734" target="_blank" >RIV/00216208:11130/20:10410734 - isvavai.cz</a>
Alternative codes found
RIV/68407700:21230/20:00340462
Result on the web
<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=UBp27L~o59" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=UBp27L~o59</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1007/s00276-020-02475-x" target="_blank" >10.1007/s00276-020-02475-x</a>
Alternative languages
Result language
angličtina
Original language name
The superficial anatomical landmarks are not reliable for predicting the recurrent branch of the median nerve
Original language description
Purpose The variability of the recurrent branch (RB) of the median nerve lends itself to an increased risk of injury when performing the minimally invasive approach for carpal tunnel release without its direct visualization. This risk is less so when it is released via the more invasive open approach as the RB can be easily identified, but the drawback is that of longer postoperative patient recovery time. Therefore, performing these releases via the less invasive approach should be more favorable for patients providing it could be done safely. Hence with there being a positive link between the hypertrophy of the thenar musculature and the course of RB according to previous studies. Methods We dissected 28 hands of 14 donated bodies fixed using Thiel's method to try to demonstrate these findings of the associations among the RB, palmar creases and other superficial anatomical landmarks. Fisher's exact test was conducted to verify the relationship between those structures statistically. Results Statistically significant links were found between the type of the RB and the type of the palmar creases (p value = 0.0094) and between the RB type and the palmaris longus muscle presence (p value = 0.028). Conclusion It was inferred that palmar creases and other superficial anatomical landmarks listed in the text could not be used to predict the variability of the RB and the choice of mini-invasive approach should not be based on their course.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30106 - Anatomy and morphology (plant science to be 1.6)
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2020
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Surgical and Radiologic Anatomy
ISSN
0930-1038
e-ISSN
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Volume of the periodical
42
Issue of the periodical within the volume
8
Country of publishing house
DE - GERMANY
Number of pages
5
Pages from-to
939-943
UT code for WoS article
000528425200001
EID of the result in the Scopus database
2-s2.0-85083843730