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CC BY-NC-ND 4.0 · Indian J Plast Surg 2008; 41(01): 73-75
DOI: 10.1055/s-0039-1699233
Case Report
Association of Plastic Surgeons of India

Ulnar nerve palsy after open carpal tunnel decompression: Case report and review of the literature

P. Yoong
St Andrews Centre for Plastic Surgery and Burns, BroomÞ eld Hospital, Court Road, Chelmsford, Essex CM1 7ET UK
,
A. Fattah
St Andrews Centre for Plastic Surgery and Burns, BroomÞ eld Hospital, Court Road, Chelmsford, Essex CM1 7ET UK
,
A. S. Flemming
St Andrews Centre for Plastic Surgery and Burns, BroomÞ eld Hospital, Court Road, Chelmsford, Essex CM1 7ET UK
› Author Affiliations
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Publication History

Publication Date:
15 January 2020 (online)

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ABSTRACT

open carpal tunnel release is the commonest surgical treatment of median nerve compression at the wrist. although successful in most cases, there are well described complications. we report a case of laceration of the deep motor branch of the ulnar nerve at the level of the hook of hamate following a complicated carpal tunnel decompression. good surgical technique and knowledge of wrist anatomy are essential for performing this apparently simple procedure safely.

KEYWORDS

Carpal tunnel - complications - nerve injury - ulnar nerve
 
  • 1 Franzblau A, Werner RA. What is carpal tunnel syndrome?. JAMA 1999; 282: 186-7
    CrossrefPubMedGoogle Scholar
  • 2 Thurston A, Lam N. Results of open carpal tunnel release: A comprehensive, retrospective study of 188 hands. Aust N Z J Surg 1997; 67: 283-8
    CrossrefPubMedGoogle Scholar
  • 3 MacDonald RI, Lichman DM, Hanlon JJ, Wilson JN. Complications of surgical release for carpal tunnel syndrome. J Hand Surg Am 1978; 3: 70-6
    CrossrefPubMedGoogle Scholar
  • 4 Polatsch DB, Melone Jr CP, Beldner S, Incorvaia A. Ulnar nerve anatomy. Hand Clin 2007; 23: 283-9
    CrossrefPubMedGoogle Scholar
  • 5 Favero KJ, Gropper PT. Ulnar nerve laceration: A complication of carpal tunnel decompression: A case report and review of the literature. J Hand Surg Br 1987; 12: 239-41
    CrossrefPubMedGoogle Scholar
  • 6 Terrono AL, Belsky MR, Feldon PG, Nalebuff EA. Injury to the deep motor branch of the ulnar nerve during carpal tunnel release. J Hand Surg Am 1993; 18: 1038-40
    CrossrefPubMedGoogle Scholar
  • 7 Ahcan U, Arnez Z, Bajrovic F, Zorman P. Surgical technique to reduce scar discomfort after carpal tunnel surgery. J Hand Surg Am 2002; 27: 821-7
    CrossrefPubMedGoogle Scholar
  • 8 Taleisnik J.. The palmar cutaneous branch of the median nerve and the approach to the carpal tunnel. J Bone Joint Surg Am 1973; 55: 1212-7
    CrossrefPubMedGoogle Scholar
  • 9 Matloub HS, Yan JG, Mink Van Der Molen AB, Zhang LL, Sanger JR. The detailed anatomy of the palmar cutaneous nerves and its clinical implications. J Hand Surg Br 1998; 23: 373-9
    CrossrefPubMedGoogle Scholar
  • 10 Engber WD, Gmeiner MD. Palmar cutaneous branch of the ulnar nerve. J Hand Surg 1980; 5: 26-9
    CrossrefPubMedGoogle Scholar
  • 11 Born T, Mahoney J. Cutaneous distribution of the ulnar nerve in the palm: Does it cross the incision used in carpal tunnel release?. Ann Plast Surg 1995; 35: 23-5
    CrossrefPubMedGoogle Scholar
  • 12 Martin CH, Seiler 3rd JG, Lesesne JS. The cutaneous innervation of the palm: An anatomic study of the ulnar and median nerves. J Hand Surg Am 1996; 21: 634-8
    CrossrefPubMedGoogle Scholar