Scopus
YÖKSİS Eşleşti
Optimizing carpal tunnel decompression: evaluating the significance of transligamentous thenar motor branch variations in severe carpal tunnel release
European Journal of Plastic Surgery · Aralık 2024
YÖKSİS Kayıtları
Optimizing carpal tunnel decompression: evaluating the significance of transligamentous thenar motor branch variations in severe carpal tunnel release
European Journal of Plastic Surgery · 2024 PubMed
DOÇENT GÖKÇE YILDIRAN →
Makale Bilgileri
DergiEuropean Journal of Plastic Surgery
Yayın TarihiAralık 2024
Cilt / Sayfa47
Scopus ID2-s2.0-85189973683
Özet
Background: While decompressing the median nerve, the thenar motor branch in the transligamentous variation may continue to remain under pressure of the transverse carpal ligament. It is aimed to present the long-term decompression results of patients with transligamentous thenar motor branch. Methods: Between 2020 and 2022, patients diagnosed with severe CTS were included. The thenar motor branch was explored, and in patients with transligamentous variation (n = 16), the thenar motor branch was also decompressed. Grip strength, pinch strength, and the Boston Carpal Tunnel Syndrome Questionnaire were administered pre-surgery, three weeks postoperatively, and at one year. Results: The results showed a significant increase in grip strength and palmar pinch strength and also improved motor functions and quality of life. Conclusions: Despite the release of the transverse carpal ligament in transligamentous type thenar motor branch variations, motor strength may continue to decrease. It is suggested that in these patients, the ligament piece on the motor branch should also be excised additionally. Level of Evidence: Level IV, Risk/Prognostic study.
Yazarlar (3)
1
Gokce Yildiran
2
Ahmet Rifat Doǧramaci
3
Zekeriya Tosun
Anahtar Kelimeler
Carpal tunnel syndrome
Decompression
Motor branch
Transligamentous
Kurumlar
Selçuk Tip Fakültesi
Konya Turkey