TY - JOUR
T1 - Ulnar subluxation of the median nerve following carpal tunnel release
T2 - A case report
AU - L'Heureux-Lebeau, B.
AU - Odobescu, A.
AU - Moser, T.
AU - Harris, P. G.
AU - Danino, M. A.
PY - 2012/4
Y1 - 2012/4
N2 - Complications of carpal tunnel release, while infrequent, include incomplete release resulting in persistent symptoms or recurrence due to postoperative scarring, as well as iatrogenic damage to nerves and vessels. We present the case of a patient who underwent carpal tunnel release with resolution of symptoms in the immediate postoperative period. At one and a half years post release he started to experience numbness and tingling in a median nerve distribution triggered by repetitive ulnar to radial deviation of the wrist, with no symptoms at rest. Dynamic ultrasound showed a subluxation of the median nerve from one side of the palmaris longus tendon to the other. The patient's symptoms were triggered as the median nerve squeezed in between the palmaris longus and flexor digitorum superficialis tendons.
AB - Complications of carpal tunnel release, while infrequent, include incomplete release resulting in persistent symptoms or recurrence due to postoperative scarring, as well as iatrogenic damage to nerves and vessels. We present the case of a patient who underwent carpal tunnel release with resolution of symptoms in the immediate postoperative period. At one and a half years post release he started to experience numbness and tingling in a median nerve distribution triggered by repetitive ulnar to radial deviation of the wrist, with no symptoms at rest. Dynamic ultrasound showed a subluxation of the median nerve from one side of the palmaris longus tendon to the other. The patient's symptoms were triggered as the median nerve squeezed in between the palmaris longus and flexor digitorum superficialis tendons.
KW - Carpal tunnel release
KW - Median nerve
KW - Subluxation
KW - Surgical complications
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U2 - 10.1016/j.bjps.2011.11.052
DO - 10.1016/j.bjps.2011.11.052
M3 - Article
C2 - 22227502
AN - SCOPUS:84857781666
SN - 1748-6815
VL - 65
SP - e99-e101
JO - Journal of Plastic, Reconstructive and Aesthetic Surgery
JF - Journal of Plastic, Reconstructive and Aesthetic Surgery
IS - 4
ER -