The superficial anatomical landmarks are not reliable for predicting the recurrent branch of the median nerve

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/68407700:21230/20:00340462

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

The superficial anatomical landmarks are not reliable for predicting the recurrent branch of the median nerve

Popis výsledku v původním jazyce

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&apos;s method to try to demonstrate these findings of the associations among the RB, palmar creases and other superficial anatomical landmarks. Fisher&apos;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.

Název v anglickém jazyce

The superficial anatomical landmarks are not reliable for predicting the recurrent branch of the median nerve

Popis výsledku anglicky

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&apos;s method to try to demonstrate these findings of the associations among the RB, palmar creases and other superficial anatomical landmarks. Fisher&apos;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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30106 - Anatomy and morphology (plant science to be 1.6)

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2020

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Surgical and Radiologic Anatomy

ISSN

0930-1038

e-ISSN

—

Svazek periodika

42

Číslo periodika v rámci svazku

8

Stát vydavatele periodika

DE - Spolková republika Německo

Počet stran výsledku

5

Strana od-do

939-943

Kód UT WoS článku

000528425200001

EID výsledku v databázi Scopus

2-s2.0-85083843730