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Revision of Carpal Tunnel Release due to Palmaris Longus Profundus.

Christos L, Konstantinos N, Evagelos P - Case Rep Orthop (2015)

Bottom Line: The palmaris profundus tendon was found and was removed.Results.Conclusions.

View Article: PubMed Central - PubMed

Affiliation: Euromedica Kyanous Stavros, Vizyis-Vyzantos 1, 54636 Thessaloniki, Greece ; Department of Anatomy, Medical School, Aristotle University of Thessaloniki, P.O. Box 300, 54124 Thessaloniki, Greece.

ABSTRACT
Purpose. The palmaris longus profundus has been documented throughout the literature as a cause of carpal tunnel syndrome. We present a case of palmaris profundus tendon removal during the revision of carpal tunnel release. Method. During a carpal tunnel release in a 66-year-old woman, palmaris profundus tendon was found inside the tunnel under the transverse carpal ligament, just above the median nerve, but it was left intact. The patient complained of pain in the hand at night and weakness of her hand one month after surgery. We decided on a revision of the carpal tunnel release. The palmaris profundus tendon was found and was removed. Results. The patient had a normal postoperative course. Two months later she returned to her normal activities and was asymptomatic. Conclusions. When a palmaris profundus muscle is located in carpal tunnel, we recommend its excision during carpal tunnel release. This excision will eliminate the possibility of recurrent compression over the median nerve.

No MeSH data available.


Related in: MedlinePlus

Removal of palmaris profundus after its traction during the revision.
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Related In: Results  -  Collection


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fig3: Removal of palmaris profundus after its traction during the revision.

Mentions: A longer longitudinal incision was performed on the previous one. The palmaris profundus tendon was found and was removed (Figures 2 and 3). The patient had a normal postoperative course. Two months later she returned to her normal activities and was asymptomatic at the several follow-up visits, the last being at 6 months.


Revision of Carpal Tunnel Release due to Palmaris Longus Profundus.

Christos L, Konstantinos N, Evagelos P - Case Rep Orthop (2015)

Removal of palmaris profundus after its traction during the revision.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4446466&req=5

fig3: Removal of palmaris profundus after its traction during the revision.
Mentions: A longer longitudinal incision was performed on the previous one. The palmaris profundus tendon was found and was removed (Figures 2 and 3). The patient had a normal postoperative course. Two months later she returned to her normal activities and was asymptomatic at the several follow-up visits, the last being at 6 months.

Bottom Line: The palmaris profundus tendon was found and was removed.Results.Conclusions.

View Article: PubMed Central - PubMed

Affiliation: Euromedica Kyanous Stavros, Vizyis-Vyzantos 1, 54636 Thessaloniki, Greece ; Department of Anatomy, Medical School, Aristotle University of Thessaloniki, P.O. Box 300, 54124 Thessaloniki, Greece.

ABSTRACT
Purpose. The palmaris longus profundus has been documented throughout the literature as a cause of carpal tunnel syndrome. We present a case of palmaris profundus tendon removal during the revision of carpal tunnel release. Method. During a carpal tunnel release in a 66-year-old woman, palmaris profundus tendon was found inside the tunnel under the transverse carpal ligament, just above the median nerve, but it was left intact. The patient complained of pain in the hand at night and weakness of her hand one month after surgery. We decided on a revision of the carpal tunnel release. The palmaris profundus tendon was found and was removed. Results. The patient had a normal postoperative course. Two months later she returned to her normal activities and was asymptomatic. Conclusions. When a palmaris profundus muscle is located in carpal tunnel, we recommend its excision during carpal tunnel release. This excision will eliminate the possibility of recurrent compression over the median nerve.

No MeSH data available.


Related in: MedlinePlus