Revision of Carpal Tunnel Release due to Palmaris Longus Profundus

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 prof...

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Main Authors: Lyrtzis Christos, Natsis Konstantinos, Pantazis Evagelos
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2015/616051
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author Lyrtzis Christos
Natsis Konstantinos
Pantazis Evagelos
author_facet Lyrtzis Christos
Natsis Konstantinos
Pantazis Evagelos
author_sort Lyrtzis Christos
collection DOAJ
description 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.
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spelling doaj-art-dc5c8764408e476a8322e2590efa064a2025-02-03T05:45:15ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/616051616051Revision of Carpal Tunnel Release due to Palmaris Longus ProfundusLyrtzis Christos0Natsis Konstantinos1Pantazis Evagelos2Euromedica Kyanous Stavros, Vizyis-Vyzantos 1, 54636 Thessaloniki, GreeceDepartment of Anatomy, Medical School, Aristotle University of Thessaloniki, P.O. Box 300, 54124 Thessaloniki, GreeceEuromedica Kyanous Stavros, Vizyis-Vyzantos 1, 54636 Thessaloniki, GreecePurpose. 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.http://dx.doi.org/10.1155/2015/616051
spellingShingle Lyrtzis Christos
Natsis Konstantinos
Pantazis Evagelos
Revision of Carpal Tunnel Release due to Palmaris Longus Profundus
Case Reports in Orthopedics
title Revision of Carpal Tunnel Release due to Palmaris Longus Profundus
title_full Revision of Carpal Tunnel Release due to Palmaris Longus Profundus
title_fullStr Revision of Carpal Tunnel Release due to Palmaris Longus Profundus
title_full_unstemmed Revision of Carpal Tunnel Release due to Palmaris Longus Profundus
title_short Revision of Carpal Tunnel Release due to Palmaris Longus Profundus
title_sort revision of carpal tunnel release due to palmaris longus profundus
url http://dx.doi.org/10.1155/2015/616051
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