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Start Over Descriptor "Palmar cutaneous branch" Publisher elsevier
2 results on '"Palmar cutaneous branch"'

1. Compression of the palmar cutaneous branch of the median nerve secondary to previous rupture of the palmaris longus tendon: Case report

Author

Bingqi Wang, Wenxue Jiang, Yanlin Wan, and Yufu Sun

Subjects
medicine.medical_specialty, Unusual case, integumentary system, business.industry, Compression, Median nerve, Case Report, Nerve injury, musculoskeletal system, Tendon, Surgery, 03 medical and health sciences, 0302 clinical medicine, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Cutaneous branch, medicine, 030211 gastroenterology & hepatology, medicine.symptom, Palmaris longus tendon, business, Palmar cutaneous branch
Abstract

Highlights • Palmar cutaneous branch of median nerve, potent factor for patients feeling abnormal post-operation. • Unusual case compression of palmar cutaneous branch of median nerve (PCBNN) • Anatomy of nerve and explanation of how easily its damaged. • Nerve affected by many factors. • Spotaneous formation of nodules after rupture of the palmaris tendon., Introduction We report an unusual case compression of the palmar cutaneous branch of the median nerve(PCBNN). Presentation of case A 52-year-old woman presenting with previous rupture of the palmaris longus tendon. During surgery, we found that the end of the tendon had formed nodules. After removing the nodules, the PCBMN was released, and half a year later, the abnormal feelings had disappeared. Discussion We aim to remind surgeons of this type of compression and to highlight the importance of maintaining vigilance in order to avoid nerve injury. Conclusion PCBMN needs to be paid more attention and damaged tendons should be repaired.

Published
2020

2. Incidence of an Anomalous Course of the Palmar Cutaneous Branch of the Median Nerve During Volar Plate Fixation of Distal Radius Fractures.

Author

Jones C, Beredjiklian P, Matzon JL, Kim N, and Lutsky K

Subjects
Adult, Aged, Cohort Studies, Female, Follow-Up Studies, Fracture Fixation, Internal adverse effects, Humans, Injury Severity Score, Intraoperative Complications prevention & control, Male, Median Nerve surgery, Middle Aged, Palmar Plate innervation, Peripheral Nerve Injuries prevention & control, Radius Fractures diagnostic imaging, Recovery of Function, Risk Assessment, Treatment Outcome, Wrist Injuries diagnostic imaging, Fracture Fixation, Internal methods, Median Nerve abnormalities, Palmar Plate surgery, Radius Fractures surgery, Range of Motion, Articular physiology, Wrist Injuries surgery
Abstract

Purpose: Volar plating of distal radius fractures using an approach through the flexor carpi radialis (FCR) sheath is commonplace. The palmar cutaneous branch of the median nerve (PCB) is considered to run in a position adjacent to, but outside, the ulnar FCR sheath. Anatomic studies have not identified anatomic abnormalities relevant to volar plating. The purpose of this study was to determine the frequency of anomalous PCB branches entering the FCR sheath during volar plating., Methods: This observational study involved 10 attending hand surgeons during a 7-month period (July 2015-January 2016). Surgeons assessed, documented, and reported any PCB anomalies that were encountered during volar plating through a trans-FCR approach., Results: There were 182 volar plates applied that made up the study group. There were 10 cases (5.5%) of anomalous PCBs entering the FCR sheath. In 4 cases, the PCB pierced the radial FCR sheath proximally, crossed beneath the tendon, and traveled distally on the ulnar side. In 4 other cases, the PCB entered the FCR sheath proximally on the ulnar or central aspect of the sheath and remained within the sheath, staying along the ulnar or dorsal side of the tendon. In 1 case, the PCB pierced the ulnar distal aspect of the sheath and split into 2 branches. In 1 case, the PCB ran within the sheath along the radial aspect of the FCR., Conclusions: Anomalies in the course of the PCB are more common than often considered. These variants are at risk during volar surgical approaches to the wrist that proceed through the FCR sheath., Clinical Relevance: Although dissecting along the radial side of the FCR sheath may protect the PCB in most cases, care must be taken to identify anomalous branches (if present) and protect them during surgery., (Copyright © 2016 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.)

Published
2016
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