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High Bifurcation of Median Nerve at the Wrist Causing Common Digital Nerve Injury in Endoscopic Carpal Tunnel Release

From the Department of Orthopaedic Surgery, School of Medicine, Kyungpook National University, Taegu, Korea

Correspondence: In Ho Jeon, MD, Department of Orthopaedic Surgery, Kyungpook National University Hospital, 50, 2-Ga, SamDuk Dong, Chung-Gu, Taegu, 700-721, South Korea. Tel.: +82-53-420-5637; Fax: +82-53-422-6605; E-mail: jeonchoi{at}chollian.net

A 45-year-old right-handed woman was treated by endoscopic carpal tunnel release under local anaesthetic. When cutting the proximal half of the flexor retinaculum with the retrograde blade, she complained of an electric shock-like pain in her middle and ring fingers. Open exploration of the carpal tunnel was performed and a laceration of the middle/ring common digital nerve, which bifurcated at the unusually high level of the wrist crease, was found.

Journal of Hand Surgery (British and European Volume), Vol. 27, No. 6, 580-582 (2002)
DOI: 10.1054/jhsb.2002.0832


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