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Muscle fibres crossing the line of incision used in carpal tunnel decompression

Nadine Hollevoet UGent, E Barbaix, Katharina D'Herde UGent, WIM VANHOVE UGent and René Verdonk UGent (2010) JOURNAL OF HAND SURGERY-EUROPEAN VOLUME. 35(2). p.115-119
abstract
Muscle fibres that cross the proposed line of incision of the flexor retinaculum at carpal tunnel decompression can be a source of confusion, particularly for the less experienced surgeon. We investigated how frequently muscle fibres crossed the line of incision on the palmar surface of the flexor retinaculum at carpal tunnel decompression in 143 hands, and dissected 103 cadaver hands to study the origin and insertion of these muscle fibres. The line of incision was defined as a longitudinal line between thenar and hypothenar eminences along the third web space, with the wrist in neutral radioulnar deviation and the fingers in extension. Muscle fibres crossing the line of incision were absent in 50% of the operated hands, 2–10 mm wide in 39% and more than 10 mm wide in 11%. In the cadaver hands the proportions were similar at 50%, 35% and 15%, respectively. The fibres were extensions of the thenar and hypothenar muscles and did not appear to represent a separate anomalous muscle.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
transverse carpal muscle, carpal tunnel syndrome, anatomical variations, NERVE COMPRESSION, ANOMALOUS MUSCLE, MEDIAN NERVE, WRIST, FLEXOR
journal title
JOURNAL OF HAND SURGERY-EUROPEAN VOLUME
J. Hand Surg.-Eur. Vol.
volume
35
issue
2
pages
115 - 119
Web of Science type
Article
Web of Science id
000274390300004
JCR category
ORTHOPEDICS
JCR impact factor
0.868 (2010)
JCR rank
35/60 (2010)
JCR quartile
3 (2010)
ISSN
1753-1934
DOI
10.1177/1753193409102465
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
835458
handle
http://hdl.handle.net/1854/LU-835458
date created
2010-01-22 16:50:55
date last changed
2011-07-12 14:33:39
@article{835458,
  abstract     = {Muscle fibres that cross the proposed line of incision of the flexor retinaculum at carpal tunnel decompression can be a source of confusion, particularly for the less experienced surgeon. We investigated how frequently muscle fibres crossed the line of incision on the palmar surface of the flexor retinaculum at carpal tunnel decompression in 143 hands, and dissected 103 cadaver hands to study the origin and insertion of these muscle fibres. The line of incision was defined as a longitudinal line between thenar and hypothenar eminences along the third web space, with the wrist in neutral radioulnar deviation and the fingers in extension. Muscle fibres crossing the line of incision were absent in 50\% of the operated hands, 2--10 mm wide in 39\% and more than 10 mm wide in 11\%. In the cadaver hands the proportions were similar at 50\%, 35\% and 15\%, respectively. The fibres were extensions of the thenar and hypothenar muscles and did not appear to represent a separate anomalous muscle.},
  author       = {Hollevoet, Nadine and Barbaix, E and D'Herde, Katharina and VANHOVE, WIM and Verdonk, Ren{\'e}},
  issn         = {1753-1934},
  journal      = {JOURNAL OF HAND SURGERY-EUROPEAN VOLUME},
  keyword      = {transverse carpal muscle,carpal tunnel syndrome,anatomical variations,NERVE COMPRESSION,ANOMALOUS MUSCLE,MEDIAN NERVE,WRIST,FLEXOR},
  language     = {eng},
  number       = {2},
  pages        = {115--119},
  title        = {Muscle fibres crossing the line of incision used in carpal tunnel decompression},
  url          = {http://dx.doi.org/10.1177/1753193409102465},
  volume       = {35},
  year         = {2010},
}

Chicago
Hollevoet, Nadine, E Barbaix, Katharina D’Herde, WIM VANHOVE, and René Verdonk. 2010. “Muscle Fibres Crossing the Line of Incision Used in Carpal Tunnel Decompression.” Journal of Hand Surgery-european Volume 35 (2): 115–119.
APA
Hollevoet, N., Barbaix, E., D’Herde, K., VANHOVE, W., & Verdonk, R. (2010). Muscle fibres crossing the line of incision used in carpal tunnel decompression. JOURNAL OF HAND SURGERY-EUROPEAN VOLUME, 35(2), 115–119.
Vancouver
1.
Hollevoet N, Barbaix E, D’Herde K, VANHOVE W, Verdonk R. Muscle fibres crossing the line of incision used in carpal tunnel decompression. JOURNAL OF HAND SURGERY-EUROPEAN VOLUME. 2010;35(2):115–9.
MLA
Hollevoet, Nadine, E Barbaix, Katharina D’Herde, et al. “Muscle Fibres Crossing the Line of Incision Used in Carpal Tunnel Decompression.” JOURNAL OF HAND SURGERY-EUROPEAN VOLUME 35.2 (2010): 115–119. Print.