The thenar motor branch during carpal tunnel decompression: “the expert opinion”
Introduction Iatrogenic injury to the thenar motor branch (TMB) of the median nerve is a rare but serious complication of carpal tunnel decompression (CTD). Variability in the anatomical course of the branch is well documented in the literature. We aimed to explore and document “expert experience an...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Candal-Couto, J. J. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2007 |
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| Schlagwörter: |
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| Anmerkung: |
© Springer-Verlag 2007 |
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| Übergeordnetes Werk: |
Enthalten in: Archives of orthopaedic and trauma surgery - Berlin : Springer, 1903, 127(2007), 6 vom: 09. Mai, Seite 431-434 |
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| Übergeordnetes Werk: |
volume:127 ; year:2007 ; number:6 ; day:09 ; month:05 ; pages:431-434 |
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| DOI / URN: |
10.1007/s00402-007-0341-8 |
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| 245 | 1 | 4 | |a The thenar motor branch during carpal tunnel decompression: “the expert opinion” |
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| 520 | |a Introduction Iatrogenic injury to the thenar motor branch (TMB) of the median nerve is a rare but serious complication of carpal tunnel decompression (CTD). Variability in the anatomical course of the branch is well documented in the literature. We aimed to explore and document “expert experience and attitude” to the TMB during CTD. Materials and methods All members of the British Society for Surgery of the Hand (220) were sent a short postal questionnaire, in which 153 questionnaires (70%) were returned. Results The open technique was routinely used by 97% of the surgeons, 70% replied that either very rarely or never formally explored the TMB during CTD and 71% of surgeons saw the TMB lying superficially in less than 5% of cases. Among surgeons, 49 had never encountered an iatrogenic injury while only 14 had seen more than 5 cases in their careers. Finally, 71% of surgeons agreed that formal exploration of the nerve is not necessary during uncomplicated cases. Discussion The “consensus” view suggests that formal demonstration of the thenar branch of the median nerve during CTD is unnecessary. The incidence of iatrogenic injuries seen was low. A number of useful strategies to avoid iatrogenic injuries are suggested. | ||
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10.1007/s00402-007-0341-8 doi (DE-627)SPR005002508 (SPR)s00402-007-0341-8-e DE-627 ger DE-627 rakwb eng Candal-Couto, J. J. verfasserin aut The thenar motor branch during carpal tunnel decompression: “the expert opinion” 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2007 Introduction Iatrogenic injury to the thenar motor branch (TMB) of the median nerve is a rare but serious complication of carpal tunnel decompression (CTD). Variability in the anatomical course of the branch is well documented in the literature. We aimed to explore and document “expert experience and attitude” to the TMB during CTD. Materials and methods All members of the British Society for Surgery of the Hand (220) were sent a short postal questionnaire, in which 153 questionnaires (70%) were returned. Results The open technique was routinely used by 97% of the surgeons, 70% replied that either very rarely or never formally explored the TMB during CTD and 71% of surgeons saw the TMB lying superficially in less than 5% of cases. Among surgeons, 49 had never encountered an iatrogenic injury while only 14 had seen more than 5 cases in their careers. Finally, 71% of surgeons agreed that formal exploration of the nerve is not necessary during uncomplicated cases. Discussion The “consensus” view suggests that formal demonstration of the thenar branch of the median nerve during CTD is unnecessary. The incidence of iatrogenic injuries seen was low. A number of useful strategies to avoid iatrogenic injuries are suggested. Carpal tunnel (dpeaa)DE-He213 Thenar branch (dpeaa)DE-He213 Iatrogenic injury (dpeaa)DE-He213 Sher, J. L. aut Enthalten in Archives of orthopaedic and trauma surgery Berlin : Springer, 1903 127(2007), 6 vom: 09. Mai, Seite 431-434 (DE-627)253390087 (DE-600)1458452-9 1434-3916 nnns volume:127 year:2007 number:6 day:09 month:05 pages:431-434 https://dx.doi.org/10.1007/s00402-007-0341-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_266 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 127 2007 6 09 05 431-434 |
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10.1007/s00402-007-0341-8 doi (DE-627)SPR005002508 (SPR)s00402-007-0341-8-e DE-627 ger DE-627 rakwb eng Candal-Couto, J. J. verfasserin aut The thenar motor branch during carpal tunnel decompression: “the expert opinion” 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2007 Introduction Iatrogenic injury to the thenar motor branch (TMB) of the median nerve is a rare but serious complication of carpal tunnel decompression (CTD). Variability in the anatomical course of the branch is well documented in the literature. We aimed to explore and document “expert experience and attitude” to the TMB during CTD. Materials and methods All members of the British Society for Surgery of the Hand (220) were sent a short postal questionnaire, in which 153 questionnaires (70%) were returned. Results The open technique was routinely used by 97% of the surgeons, 70% replied that either very rarely or never formally explored the TMB during CTD and 71% of surgeons saw the TMB lying superficially in less than 5% of cases. Among surgeons, 49 had never encountered an iatrogenic injury while only 14 had seen more than 5 cases in their careers. Finally, 71% of surgeons agreed that formal exploration of the nerve is not necessary during uncomplicated cases. Discussion The “consensus” view suggests that formal demonstration of the thenar branch of the median nerve during CTD is unnecessary. The incidence of iatrogenic injuries seen was low. A number of useful strategies to avoid iatrogenic injuries are suggested. Carpal tunnel (dpeaa)DE-He213 Thenar branch (dpeaa)DE-He213 Iatrogenic injury (dpeaa)DE-He213 Sher, J. L. aut Enthalten in Archives of orthopaedic and trauma surgery Berlin : Springer, 1903 127(2007), 6 vom: 09. Mai, Seite 431-434 (DE-627)253390087 (DE-600)1458452-9 1434-3916 nnns volume:127 year:2007 number:6 day:09 month:05 pages:431-434 https://dx.doi.org/10.1007/s00402-007-0341-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_266 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 127 2007 6 09 05 431-434 |
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10.1007/s00402-007-0341-8 doi (DE-627)SPR005002508 (SPR)s00402-007-0341-8-e DE-627 ger DE-627 rakwb eng Candal-Couto, J. J. verfasserin aut The thenar motor branch during carpal tunnel decompression: “the expert opinion” 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2007 Introduction Iatrogenic injury to the thenar motor branch (TMB) of the median nerve is a rare but serious complication of carpal tunnel decompression (CTD). Variability in the anatomical course of the branch is well documented in the literature. We aimed to explore and document “expert experience and attitude” to the TMB during CTD. Materials and methods All members of the British Society for Surgery of the Hand (220) were sent a short postal questionnaire, in which 153 questionnaires (70%) were returned. Results The open technique was routinely used by 97% of the surgeons, 70% replied that either very rarely or never formally explored the TMB during CTD and 71% of surgeons saw the TMB lying superficially in less than 5% of cases. Among surgeons, 49 had never encountered an iatrogenic injury while only 14 had seen more than 5 cases in their careers. Finally, 71% of surgeons agreed that formal exploration of the nerve is not necessary during uncomplicated cases. Discussion The “consensus” view suggests that formal demonstration of the thenar branch of the median nerve during CTD is unnecessary. The incidence of iatrogenic injuries seen was low. A number of useful strategies to avoid iatrogenic injuries are suggested. Carpal tunnel (dpeaa)DE-He213 Thenar branch (dpeaa)DE-He213 Iatrogenic injury (dpeaa)DE-He213 Sher, J. L. aut Enthalten in Archives of orthopaedic and trauma surgery Berlin : Springer, 1903 127(2007), 6 vom: 09. Mai, Seite 431-434 (DE-627)253390087 (DE-600)1458452-9 1434-3916 nnns volume:127 year:2007 number:6 day:09 month:05 pages:431-434 https://dx.doi.org/10.1007/s00402-007-0341-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_266 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 127 2007 6 09 05 431-434 |
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10.1007/s00402-007-0341-8 doi (DE-627)SPR005002508 (SPR)s00402-007-0341-8-e DE-627 ger DE-627 rakwb eng Candal-Couto, J. J. verfasserin aut The thenar motor branch during carpal tunnel decompression: “the expert opinion” 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2007 Introduction Iatrogenic injury to the thenar motor branch (TMB) of the median nerve is a rare but serious complication of carpal tunnel decompression (CTD). Variability in the anatomical course of the branch is well documented in the literature. We aimed to explore and document “expert experience and attitude” to the TMB during CTD. Materials and methods All members of the British Society for Surgery of the Hand (220) were sent a short postal questionnaire, in which 153 questionnaires (70%) were returned. Results The open technique was routinely used by 97% of the surgeons, 70% replied that either very rarely or never formally explored the TMB during CTD and 71% of surgeons saw the TMB lying superficially in less than 5% of cases. Among surgeons, 49 had never encountered an iatrogenic injury while only 14 had seen more than 5 cases in their careers. Finally, 71% of surgeons agreed that formal exploration of the nerve is not necessary during uncomplicated cases. Discussion The “consensus” view suggests that formal demonstration of the thenar branch of the median nerve during CTD is unnecessary. The incidence of iatrogenic injuries seen was low. A number of useful strategies to avoid iatrogenic injuries are suggested. Carpal tunnel (dpeaa)DE-He213 Thenar branch (dpeaa)DE-He213 Iatrogenic injury (dpeaa)DE-He213 Sher, J. L. aut Enthalten in Archives of orthopaedic and trauma surgery Berlin : Springer, 1903 127(2007), 6 vom: 09. Mai, Seite 431-434 (DE-627)253390087 (DE-600)1458452-9 1434-3916 nnns volume:127 year:2007 number:6 day:09 month:05 pages:431-434 https://dx.doi.org/10.1007/s00402-007-0341-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_266 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 127 2007 6 09 05 431-434 |
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10.1007/s00402-007-0341-8 doi (DE-627)SPR005002508 (SPR)s00402-007-0341-8-e DE-627 ger DE-627 rakwb eng Candal-Couto, J. J. verfasserin aut The thenar motor branch during carpal tunnel decompression: “the expert opinion” 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2007 Introduction Iatrogenic injury to the thenar motor branch (TMB) of the median nerve is a rare but serious complication of carpal tunnel decompression (CTD). Variability in the anatomical course of the branch is well documented in the literature. We aimed to explore and document “expert experience and attitude” to the TMB during CTD. Materials and methods All members of the British Society for Surgery of the Hand (220) were sent a short postal questionnaire, in which 153 questionnaires (70%) were returned. Results The open technique was routinely used by 97% of the surgeons, 70% replied that either very rarely or never formally explored the TMB during CTD and 71% of surgeons saw the TMB lying superficially in less than 5% of cases. Among surgeons, 49 had never encountered an iatrogenic injury while only 14 had seen more than 5 cases in their careers. Finally, 71% of surgeons agreed that formal exploration of the nerve is not necessary during uncomplicated cases. Discussion The “consensus” view suggests that formal demonstration of the thenar branch of the median nerve during CTD is unnecessary. The incidence of iatrogenic injuries seen was low. A number of useful strategies to avoid iatrogenic injuries are suggested. Carpal tunnel (dpeaa)DE-He213 Thenar branch (dpeaa)DE-He213 Iatrogenic injury (dpeaa)DE-He213 Sher, J. L. aut Enthalten in Archives of orthopaedic and trauma surgery Berlin : Springer, 1903 127(2007), 6 vom: 09. Mai, Seite 431-434 (DE-627)253390087 (DE-600)1458452-9 1434-3916 nnns volume:127 year:2007 number:6 day:09 month:05 pages:431-434 https://dx.doi.org/10.1007/s00402-007-0341-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_266 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 127 2007 6 09 05 431-434 |
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Variability in the anatomical course of the branch is well documented in the literature. We aimed to explore and document “expert experience and attitude” to the TMB during CTD. Materials and methods All members of the British Society for Surgery of the Hand (220) were sent a short postal questionnaire, in which 153 questionnaires (70%) were returned. Results The open technique was routinely used by 97% of the surgeons, 70% replied that either very rarely or never formally explored the TMB during CTD and 71% of surgeons saw the TMB lying superficially in less than 5% of cases. Among surgeons, 49 had never encountered an iatrogenic injury while only 14 had seen more than 5 cases in their careers. Finally, 71% of surgeons agreed that formal exploration of the nerve is not necessary during uncomplicated cases. Discussion The “consensus” view suggests that formal demonstration of the thenar branch of the median nerve during CTD is unnecessary. 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The thenar motor branch during carpal tunnel decompression: “the expert opinion” Carpal tunnel (dpeaa)DE-He213 Thenar branch (dpeaa)DE-He213 Iatrogenic injury (dpeaa)DE-He213 |
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thenar motor branch during carpal tunnel decompression: “the expert opinion” |
| title_auth |
The thenar motor branch during carpal tunnel decompression: “the expert opinion” |
| abstract |
Introduction Iatrogenic injury to the thenar motor branch (TMB) of the median nerve is a rare but serious complication of carpal tunnel decompression (CTD). Variability in the anatomical course of the branch is well documented in the literature. We aimed to explore and document “expert experience and attitude” to the TMB during CTD. Materials and methods All members of the British Society for Surgery of the Hand (220) were sent a short postal questionnaire, in which 153 questionnaires (70%) were returned. Results The open technique was routinely used by 97% of the surgeons, 70% replied that either very rarely or never formally explored the TMB during CTD and 71% of surgeons saw the TMB lying superficially in less than 5% of cases. Among surgeons, 49 had never encountered an iatrogenic injury while only 14 had seen more than 5 cases in their careers. Finally, 71% of surgeons agreed that formal exploration of the nerve is not necessary during uncomplicated cases. Discussion The “consensus” view suggests that formal demonstration of the thenar branch of the median nerve during CTD is unnecessary. The incidence of iatrogenic injuries seen was low. A number of useful strategies to avoid iatrogenic injuries are suggested. © Springer-Verlag 2007 |
| abstractGer |
Introduction Iatrogenic injury to the thenar motor branch (TMB) of the median nerve is a rare but serious complication of carpal tunnel decompression (CTD). Variability in the anatomical course of the branch is well documented in the literature. We aimed to explore and document “expert experience and attitude” to the TMB during CTD. Materials and methods All members of the British Society for Surgery of the Hand (220) were sent a short postal questionnaire, in which 153 questionnaires (70%) were returned. Results The open technique was routinely used by 97% of the surgeons, 70% replied that either very rarely or never formally explored the TMB during CTD and 71% of surgeons saw the TMB lying superficially in less than 5% of cases. Among surgeons, 49 had never encountered an iatrogenic injury while only 14 had seen more than 5 cases in their careers. Finally, 71% of surgeons agreed that formal exploration of the nerve is not necessary during uncomplicated cases. Discussion The “consensus” view suggests that formal demonstration of the thenar branch of the median nerve during CTD is unnecessary. The incidence of iatrogenic injuries seen was low. A number of useful strategies to avoid iatrogenic injuries are suggested. © Springer-Verlag 2007 |
| abstract_unstemmed |
Introduction Iatrogenic injury to the thenar motor branch (TMB) of the median nerve is a rare but serious complication of carpal tunnel decompression (CTD). Variability in the anatomical course of the branch is well documented in the literature. We aimed to explore and document “expert experience and attitude” to the TMB during CTD. Materials and methods All members of the British Society for Surgery of the Hand (220) were sent a short postal questionnaire, in which 153 questionnaires (70%) were returned. Results The open technique was routinely used by 97% of the surgeons, 70% replied that either very rarely or never formally explored the TMB during CTD and 71% of surgeons saw the TMB lying superficially in less than 5% of cases. Among surgeons, 49 had never encountered an iatrogenic injury while only 14 had seen more than 5 cases in their careers. Finally, 71% of surgeons agreed that formal exploration of the nerve is not necessary during uncomplicated cases. Discussion The “consensus” view suggests that formal demonstration of the thenar branch of the median nerve during CTD is unnecessary. The incidence of iatrogenic injuries seen was low. A number of useful strategies to avoid iatrogenic injuries are suggested. © Springer-Verlag 2007 |
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The thenar motor branch during carpal tunnel decompression: “the expert opinion” |
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Sher, J. L. |
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| score |
7.4006004 |