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DOI: 10.1055/s-0044-1785657
Persistent Median Artery and Carpal Tunnel Syndrome: A Retrospective Study
Article in several languages: português | EnglishAbstract
Objective This study presents a retrospective study of persistent median artery associated with carpal tunnel syndrome (CTS).
Methods A retrospective study of the persistent median artery and CTS. Exclusion criteria were patients who did not present persistent median artery, those who were diabetic, or had rheumatoid diseases, and those who decided not to do the surgery. Only 25 patients were eligible for this retrospective study.
Results Median artery thrombosis had statistical differences considering the variables sex (p = 0.009), electroneuromyography findings (p = 0.021), profession (p = 0.066), and “total duration since the beginning of the symptoms” (p = 0.055). Thenar muscle atrophy had no statistical differences when compared to the variables. Bifid median nerve had statistical differences when compared to provocative tests (p = 0.013), frequency of symptoms (p = 0.001), and age (p = 0.028).
Conclusion Although uncommon, the persistent median artery should be considered a differential diagnosis for CTS. Ultrasonography is a reliable method to predict carpal tunnel anatomy. Late onset and symptoms could influence artery thrombosis and worsen the symptoms.
Financial Support
The author(s) received no financial support for the research, authorship, and/or publication of this article.
Work developed at the Department of Orthopedics and Anesthesiology of the Hospital of Clinics of the Ribeirao Preto Medical School of University of São Paulo, Ribeirão Preto, SP, Brazil.
Publication History
Received: 26 June 2022
Accepted: 18 January 2023
Article published online:
13 May 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
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