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Original Research
Online Published: 27 Dec 2015
 


An anatomical study for safer carpal tunnel decompression

Mamatha Hosapatna, Anne D Souza, Sachendra Mittal, Antony Sylvan D Souza, Vrinda Hari Ankolekar.


Abstract
Objective: To calculate the dimensions of flexor retinaculum and to measure its distance from important anatomical landmarks.
Methods: The present study was carried out using 10 formalin-fixed cadavers (7 male and 3 female). Both hands were dissected using a midline incision to expose the flexor retinaculum (FR), superficial palmar arch (SPA), palmar cutaneous branch of the median nerve (PCMN) and the recurrent branch of the median nerve (RMN). Width of the FR was noted and the distances were measured using these landmarks.
Results: The width of the FR ranged from 13 mm to 26 mm and the average was 20.08±4.05 mm on the right side and 22.5±2.12 mm on the left side. An unpaired t test was applied to compare the means between the right and left sides. The distance of origin of PCMN from FR was more on the left side and the difference was statistically significant.
Conclusion: Careful attention to anatomical landmarks can minimize inadvertent damage to the palmar and thenar branches of the median nerve, as well as the superficial palmar arch, in carpal tunnel decompression.

Key words: Carpal tunnel, flexor retinaculum, median nerve, superficial palmar arch


 
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How to Cite this Article
Pubmed Style

Mamatha Hosapatna, Anne D Souza, Sachendra Mittal, Antony Sylvan D Souza, Vrinda Hari Ankolekar. An anatomical study for safer carpal tunnel decompression. Hand Microsurg. 2016; 5(1): 7-10. doi:10.5455/handmicrosurg.193099

Web Style

Mamatha Hosapatna, Anne D Souza, Sachendra Mittal, Antony Sylvan D Souza, Vrinda Hari Ankolekar. An anatomical study for safer carpal tunnel decompression. https://handmicrosurgeryjournal.com/?mno=193099 [Access: September 12, 2024]. doi:10.5455/handmicrosurg.193099

AMA (American Medical Association) Style

Mamatha Hosapatna, Anne D Souza, Sachendra Mittal, Antony Sylvan D Souza, Vrinda Hari Ankolekar. An anatomical study for safer carpal tunnel decompression. Hand Microsurg. 2016; 5(1): 7-10. doi:10.5455/handmicrosurg.193099


Vancouver/ICMJE Style

Mamatha Hosapatna, Anne D Souza, Sachendra Mittal, Antony Sylvan D Souza, Vrinda Hari Ankolekar. An anatomical study for safer carpal tunnel decompression. Hand Microsurg. (2016), [cited September 12, 2024]; 5(1): 7-10. doi:10.5455/handmicrosurg.193099


Harvard Style

Mamatha Hosapatna, Anne D Souza, Sachendra Mittal, Antony Sylvan D Souza, Vrinda Hari Ankolekar (2016) An anatomical study for safer carpal tunnel decompression. Hand Microsurg, 5 (1), 7-10. doi:10.5455/handmicrosurg.193099


Turabian Style

Mamatha Hosapatna, Anne D Souza, Sachendra Mittal, Antony Sylvan D Souza, Vrinda Hari Ankolekar. 2016. An anatomical study for safer carpal tunnel decompression. Hand and Microsurgery, 5 (1), 7-10. doi:10.5455/handmicrosurg.193099


Chicago Style

Mamatha Hosapatna, Anne D Souza, Sachendra Mittal, Antony Sylvan D Souza, Vrinda Hari Ankolekar. "An anatomical study for safer carpal tunnel decompression." Hand and Microsurgery 5 (2016), 7-10. doi:10.5455/handmicrosurg.193099


MLA (The Modern Language Association) Style

Mamatha Hosapatna, Anne D Souza, Sachendra Mittal, Antony Sylvan D Souza, Vrinda Hari Ankolekar. "An anatomical study for safer carpal tunnel decompression." Hand and Microsurgery 5.1 (2016), 7-10. Print. doi:10.5455/handmicrosurg.193099


APA (American Psychological Association) Style

Mamatha Hosapatna, Anne D Souza, Sachendra Mittal, Antony Sylvan D Souza, Vrinda Hari Ankolekar (2016) An anatomical study for safer carpal tunnel decompression. Hand and Microsurgery, 5 (1), 7-10. doi:10.5455/handmicrosurg.193099




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    Hand and Microsurgery, the official journal of Turkish Society for Surgery of Hand and Upper Extremity, is a peer-reviewed scientific journal published th ... Read more.



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