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Arch Hand Microsurg > Volume 22(4); 2017 > Article
Archives of Hand and Microsurgery 2017;22(4):256-260.
Published online December 1, 2017.
DOI: https://doi.org/10.12790/ahm.2017.22.4.256   
Thrombosed Persistent Median Artery with Bifid Median Nerve Causing Acute Carpal Tunnel Syndrome: A Case Report
Dongmin Kim1, Jong Woong Park2, In Cheul Choi3
1Department of the Orthopedic Surgery, Armed Forces Capital Hospital, Seongnam, Korea.
2Department of the Orthopedic Surgery, Korea University Anam Hospital, Seoul, Korea.
3Department of the Orthopedic Surgery, Seoul Barunsesang Hospital, Seoul, Korea. indolldr@hanmail.net
Received: 28 August 2017   • Revised: 3 October 2017   • Accepted: 19 October 2017
Abstract
Among the numerous causes of carpal tunnel syndrome, thrombosed persistent median artery with bifid median nerve is extremely rare. Our presentation shows that an unusual case and surgical outcome of thrombosed persistent median artery with bifid median nerve causing acute carpal tunnel syndrome. Care has to be taken that identification of abnormal anatomy in the carpal tunnel is essential, especially in abruptly occurred carpal tunnel syndrome. We suggest that Doppler ultrasound examination is very useful in an outpatient clinic-based for identification of abnormal structure, which makes more quickly and accurate diagnosis than magnetic resonance image.
Key Words: Carpal tunnel syndrome, Persistent median artery, Bifid median nerve, Occlusion
 
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