{"id":1784,"date":"2019-03-05T15:42:57","date_gmt":"2019-03-05T15:42:57","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=1784"},"modified":"2019-03-05T15:42:57","modified_gmt":"2019-03-05T15:42:57","slug":"ijar-2019-107","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2019-107","title":{"rendered":"IJAR.2019.107"},"content":{"rendered":"
<\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div>
<\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n

Type of Article:<\/strong>\u00a0\u00a0Original<\/h3>\n

Volume 7; Issue 1.3 (March 2019)<\/strong><\/h3>\n

Page No.:<\/strong>\u00a06311-6313<\/h3>\n

DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2019.107<\/h3>\n

STUDY OF ANATOMICAL VARIATIONS (DIVISION) OF MEDIAN NERVE IN CARPAL TUNNEL IN NORTH GUJARAT<\/h3>\n

Pankaj B Maheria 1<\/sup>, Kuldeep N Suthar *2<\/sup>.<\/strong><\/p>\n

1<\/sup> Associate Professor, Department of Anatomy, GMERS Medical College, Dharpur-Patan, India.<\/p>\n

*2<\/sup> Assistant professor, Department of Anatomy, GMERS Medical College, Dharpur-Patan, India.<\/p>\n

Address of the Corresponding Author: <\/strong>Dr. Kuldeep Suthar, 33, Mehsananagar Society, Near Avakar Service Station, Radhanpur Road,\u00a0\u00a0\u00a0 Mehsana-384002, Gujarat, India. Mobile \u2013 9998846025 E-Mail:<\/strong> dr.kuldeepsuthar@yahoo.co.in<\/p>\n

ABSTRACT:<\/strong><\/p>\n

Introduction:<\/strong> Carpal Tunnel Syndrome is very common peripheral neuropathy in the wrist due to compression of Median Nerve. Detail knowledge of the normal and variant anatomy of the median nerve in the wrist is fundamental for clinical examination and also in avoiding complications during carpal tunnel surgeries.<\/p>\n

Materials and Methods<\/strong>: A study of the variations of the course of the median nerve within the carpal tunnel were carried out on 60 wrists from 30 formalin fixed adult human cadaver for a period of 3 years in the Department of Anatomy.<\/p>\n

Result<\/strong>: We found variations in 40 [66%] hands out of 60 [100%]. In left hand variations were more compared to right. Rare variations were not found. High division was found in 6 [10%] of all the hands. Among them, 4 were in left hand and 2 were in right hand.<\/p>\n

Conclusion:<\/strong> Sometimes incomplete decompression by surgeon for nerve entrapment and injury to its thenar branches may happen. Sound knowledge about the normal anatomy of the median nerve has become absolutely necessary to avoid such incidences.<\/p>\n

KEY WORDS: <\/strong>Median nerve, Carpal tunnel, High division, Thenar nerves.<\/p>\n

REFERENCES<\/strong><\/p>\n

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  1. Mizia, W. Klimek-Piotrowska, J. Walocha, R. Rutowski, R. Wojtala. The median nerve in the carpal tunnel. Folia Morphol. 2011; 70 (1): 41\u201346.<\/li>\n
  2. Lanz u. Anatomical variations of the median nerve in the carpal tunnel. \u00a0J Hand Surge (AM). 1977; 22: 44-53.<\/li>\n
  3. Szabo RM, Pettey J. Bilateral median nerve bifurcation with an accessory compartment within the carpal tunnel. J Hand Surg. 1994; 19B: 1744-1746.<\/li>\n
  4. Jeon IH, Kim PT, Park IH, Park BC, Ihn JC. High bifurcation of median nerve at the wrist causing common digital nerve injury in endoscopic carpal tunnel release. J Hand Surg. 2002; 27B: 580-582.<\/li>\n
  5. Lindley SG, Jackson MS, Kleinert JM. Prevalence of anatomic variations encountered in elective tunnel release. J Hand Surg. 2003; 28A: 849-855.<\/li>\n
  6. Gutowski KA, Oliver WA, Mehrara BJ, Friedman DW. Arteriovenous malformation of a persistent median artery with a bifurcated median nerve. Plast Reconstr Surg. 2000; 106:1336-1339.<\/li>\n
  7. Fernandez-Garcia S, Pi-Folguera J, Estallo-Matono F. Bifid median nerve compression due to a musculotendinous anomaly of FDS to the middle finger. J Hand Surg. 1994; 19B: 616-617.<\/li>\n
  8. Kuntal Vashistha. J. Anat. Soc. India 2011; 60 (2): 193-198.<\/li>\n
  9. Romanes GJ. Manual of practical Anatomy in forearm and hand. 15th<\/sup> edn, Oxford: Oxford university press. 1986; 1: 73-81.<\/li>\n
  10. R mitchell, a Chesney, S Seal, l mcKnight, a Thoma. Anatomical variations of the carpal tunnel structures. Can J plast Surg. 2009; 17(3): e3-e7.<\/li>\n
  11. Ahn DS, Yoon ES, Koo SH, Park SH. A prospective study of the anatomic variations of the median nerve in the carpal tunnel in Asians. Ann Plast Surg. 2000; 44: 282\u2013287.<\/li>\n
  12. Hurwitz PJ. Variation in the course of the thenar motor branch of the median nerve. J Hand Surg. 1996; 21B: 344\u2013346.<\/li>\n
  13. Barbe M, Bradfield J, Donathan M, Elmaleh J. Coexistence of multiple anomalies in the carpal tunnel. Clin Anat. 2005; 18 (4): 251\u2013259.<\/li>\n
  14. Tountas CP, Bhrle DM, MacDonald CJ, Bergman RA. Variations of the median nerve in the carpal. J Hand Surg. 1987; 12: 708\u2013712.<\/li>\n<\/ol>\n

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    \n \t Cite this article:<\/strong><\/span> Pankaj B Maheria, Kuldeep N Suthar. STUDY OF ANATOMICAL VARIATIONS (DIVISION) OF MEDIAN NERVE IN CARPAL TUNNEL IN NORTH GUJARAT. Int J Anat Res 2019;7(1.3):6311-6313.\u00a0DOI:\u00a0<\/strong>10.16965\/ijar.2019.107\u00a0 \n <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"

    Type of Article:\u00a0\u00a0Original Volume 7; Issue 1.3 (March 2019) Page No.:\u00a06311-6313 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2019.107 STUDY OF ANATOMICAL VARIATIONS (DIVISION) OF MEDIAN NERVE IN CARPAL TUNNEL IN NORTH GUJARAT Pankaj B Maheria 1, Kuldeep N Suthar *2. 1 Associate Professor, Department of Anatomy, GMERS Medical College, Dharpur-Patan, India. *2 Assistant professor, Department of Anatomy, GMERS Medical College, Dharpur-Patan,
    + Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1784"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=1784"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1784\/revisions"}],"predecessor-version":[{"id":1789,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1784\/revisions\/1789"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=1784"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}