Identification of an Aberrant Transligamentous Branch of the Median Nerve during Carpal Tunnel Release using Ultrasound Guidance
Ultrasound is a well-established tool for diagnosing carpal tunnel syndrome and guiding therapeutic release procedures. Variations in carpal tunnel anatomy, including the palmar cutaneous and thenar motor branches, are well-documented. This case describes a novel transligamentous branch of the media...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-05-01
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| Series: | Journal of Hand Surgery Global Online |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589514125000349 |
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| author | Douglas Hoffman, MD Jay Smith, MD Katelyn Henningsen, BS |
| author_facet | Douglas Hoffman, MD Jay Smith, MD Katelyn Henningsen, BS |
| author_sort | Douglas Hoffman, MD |
| collection | DOAJ |
| description | Ultrasound is a well-established tool for diagnosing carpal tunnel syndrome and guiding therapeutic release procedures. Variations in carpal tunnel anatomy, including the palmar cutaneous and thenar motor branches, are well-documented. This case describes a novel transligamentous branch of the median nerve, resembling a second palmar cutaneous branch, identified with diagnostic ultrasound prior to an ultrasound-guided carpal tunnel release. Continuous visualization of this aberrant transligamentous branch during the ultrasound-guided carpal tunnel release procedure enabled precise avoidance, reducing the risk of iatrogenic injury. |
| format | Article |
| id | doaj-art-b46b08bb53e24f8ca6d564b680ab9a73 |
| institution | DOAJ |
| issn | 2589-5141 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Hand Surgery Global Online |
| spelling | doaj-art-b46b08bb53e24f8ca6d564b680ab9a732025-08-20T03:13:12ZengElsevierJournal of Hand Surgery Global Online2589-51412025-05-017310071510.1016/j.jhsg.2025.02.008Identification of an Aberrant Transligamentous Branch of the Median Nerve during Carpal Tunnel Release using Ultrasound GuidanceDouglas Hoffman, MD0Jay Smith, MD1Katelyn Henningsen, BS2Departments of Orthopedics and Radiology, Essentia Health, Duluth, MN; Corresponding author: Douglas Hoffman, MD, Essentia Health, 400 E Third St, Duluth, MN 55805.Sonex Health, Eagan, MNUniversity of Minnesota Medical School, Duluth, MNUltrasound is a well-established tool for diagnosing carpal tunnel syndrome and guiding therapeutic release procedures. Variations in carpal tunnel anatomy, including the palmar cutaneous and thenar motor branches, are well-documented. This case describes a novel transligamentous branch of the median nerve, resembling a second palmar cutaneous branch, identified with diagnostic ultrasound prior to an ultrasound-guided carpal tunnel release. Continuous visualization of this aberrant transligamentous branch during the ultrasound-guided carpal tunnel release procedure enabled precise avoidance, reducing the risk of iatrogenic injury.http://www.sciencedirect.com/science/article/pii/S2589514125000349Carpal tunnelMedian nerveUltrasound |
| spellingShingle | Douglas Hoffman, MD Jay Smith, MD Katelyn Henningsen, BS Identification of an Aberrant Transligamentous Branch of the Median Nerve during Carpal Tunnel Release using Ultrasound Guidance Journal of Hand Surgery Global Online Carpal tunnel Median nerve Ultrasound |
| title | Identification of an Aberrant Transligamentous Branch of the Median Nerve during Carpal Tunnel Release using Ultrasound Guidance |
| title_full | Identification of an Aberrant Transligamentous Branch of the Median Nerve during Carpal Tunnel Release using Ultrasound Guidance |
| title_fullStr | Identification of an Aberrant Transligamentous Branch of the Median Nerve during Carpal Tunnel Release using Ultrasound Guidance |
| title_full_unstemmed | Identification of an Aberrant Transligamentous Branch of the Median Nerve during Carpal Tunnel Release using Ultrasound Guidance |
| title_short | Identification of an Aberrant Transligamentous Branch of the Median Nerve during Carpal Tunnel Release using Ultrasound Guidance |
| title_sort | identification of an aberrant transligamentous branch of the median nerve during carpal tunnel release using ultrasound guidance |
| topic | Carpal tunnel Median nerve Ultrasound |
| url | http://www.sciencedirect.com/science/article/pii/S2589514125000349 |
| work_keys_str_mv | AT douglashoffmanmd identificationofanaberranttransligamentousbranchofthemediannerveduringcarpaltunnelreleaseusingultrasoundguidance AT jaysmithmd identificationofanaberranttransligamentousbranchofthemediannerveduringcarpaltunnelreleaseusingultrasoundguidance AT katelynhenningsenbs identificationofanaberranttransligamentousbranchofthemediannerveduringcarpaltunnelreleaseusingultrasoundguidance |