The Isolated Motor Branch of the Ulnar Nerve Injury During Open Carpal Tunnel Release

A 76-year-old woman underwent open carpal tunnel release (OCTR). She had sudden sharp shooting pain in her hand, in the mid-palmar area, during the operation. She was then unable to abduct or adduct her thumb and fingers after surgery. She had no sensation impairment of the ulnar digit. The nerve co...

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Detalles Bibliográficos
Autores principales: Siriwittayakorn, Wuttipong, Fongsri, Warangkana, Watatham, Kraisong, Atthakorn, Wattanai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Orthopedics
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10504059/
https://www.ncbi.nlm.nih.gov/pubmed/37719604
http://dx.doi.org/10.7759/cureus.43601
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author Siriwittayakorn, Wuttipong
Fongsri, Warangkana
Watatham, Kraisong
Atthakorn, Wattanai
author_facet Siriwittayakorn, Wuttipong
Fongsri, Warangkana
Watatham, Kraisong
Atthakorn, Wattanai
author_sort Siriwittayakorn, Wuttipong
collection PubMed
description A 76-year-old woman underwent open carpal tunnel release (OCTR). She had sudden sharp shooting pain in her hand, in the mid-palmar area, during the operation. She was then unable to abduct or adduct her thumb and fingers after surgery. She had no sensation impairment of the ulnar digit. The nerve conduction study confirmed a complete transection of the motor branch of the ulnar nerve (MUN). The MUN was repaired, and the patient recovered her intrinsic hand muscle function two years after the operation. The mechanism of injury, related anatomy and potentially dangerous area, clinical findings, management, and prevention are discussed.
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spelling pubmed-105040592023-09-17 The Isolated Motor Branch of the Ulnar Nerve Injury During Open Carpal Tunnel Release Siriwittayakorn, Wuttipong Fongsri, Warangkana Watatham, Kraisong Atthakorn, Wattanai Cureus Orthopedics A 76-year-old woman underwent open carpal tunnel release (OCTR). She had sudden sharp shooting pain in her hand, in the mid-palmar area, during the operation. She was then unable to abduct or adduct her thumb and fingers after surgery. She had no sensation impairment of the ulnar digit. The nerve conduction study confirmed a complete transection of the motor branch of the ulnar nerve (MUN). The MUN was repaired, and the patient recovered her intrinsic hand muscle function two years after the operation. The mechanism of injury, related anatomy and potentially dangerous area, clinical findings, management, and prevention are discussed. Cureus 2023-08-16 /pmc/articles/PMC10504059/ /pubmed/37719604 http://dx.doi.org/10.7759/cureus.43601 Text en Copyright © 2023, Siriwittayakorn et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Orthopedics
Siriwittayakorn, Wuttipong
Fongsri, Warangkana
Watatham, Kraisong
Atthakorn, Wattanai
The Isolated Motor Branch of the Ulnar Nerve Injury During Open Carpal Tunnel Release
title The Isolated Motor Branch of the Ulnar Nerve Injury During Open Carpal Tunnel Release
title_full The Isolated Motor Branch of the Ulnar Nerve Injury During Open Carpal Tunnel Release
title_fullStr The Isolated Motor Branch of the Ulnar Nerve Injury During Open Carpal Tunnel Release
title_full_unstemmed The Isolated Motor Branch of the Ulnar Nerve Injury During Open Carpal Tunnel Release
title_short The Isolated Motor Branch of the Ulnar Nerve Injury During Open Carpal Tunnel Release
title_sort isolated motor branch of the ulnar nerve injury during open carpal tunnel release
topic Orthopedics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10504059/
https://www.ncbi.nlm.nih.gov/pubmed/37719604
http://dx.doi.org/10.7759/cureus.43601
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