PMID- 32394419
OWN - NLM
STAT- MEDLINE
DCOM- 20211011
LR  - 20211011
IS  - 1644-3284 (Electronic)
IS  - 0015-5659 (Linking)
VI  - 80
IP  - 2
DP  - 2021
TI  - The anatomical landmarks effective in the localisation of the median nerve during 
      orthopaedic procedures.
PG  - 248-254
LID - 10.5603/FM.a2020.0049 [doi]
AB  - BACKGROUND: The aim of this study was to create a safe zone for surgeons who 
      perform procedures in the wrist to avoid iatrogenic damage to the median nerve 
      (MN) by identifying anatomical landmarks using ultrasound (USG). MATERIALS AND 
      METHODS: We measured the distances between the MN and two easily identifiable 
      anatomical landmarks at the level of the proximal border of carpal ligament using 
      USG. RESULTS: A total of 57 volunteers (n = 114 upper limbs) were included in 
      this study. Our main findings revealed that the distance from the flexor carpi 
      radialis tendon to MN (FCR-MN) was 7.87 mm (95% confidence interval 7.37-8.37) 
      and the distance from flexor carpi ulnaris tendon to MN (FCU-MN) was 19.09 mm 
      (95% confidence interval 18.51-19.67). CONCLUSIONS: The tendons of FCR and FCU 
      are easily identifiable landmarks that can be distinguished using simple 
      palpation. Based on our USG findings, the area around FCR should be carefully 
      navigated to avoid iatrogenic injury to the MN during surgical procedures around 
      the carpal tunnel.
FAU - Mizia, E
AU  - Mizia E
AD  - Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland. 
      ewa.mizia@gazeta.pl.
FAU - Pekala, P A
AU  - Pekala PA
AD  - Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland.
AD  - International Evidence-Based Anatomy Working Group, Krakow, Poland.
FAU - Skinningsrud, B
AU  - Skinningsrud B
AD  - Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland.
AD  - International Evidence-Based Anatomy Working Group, Krakow, Poland.
FAU - Rutowicz, B
AU  - Rutowicz B
AD  - Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland.
FAU - Piekos, P
AU  - Piekos P
AD  - Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland.
AD  - International Evidence-Based Anatomy Working Group, Krakow, Poland.
FAU - Baginski, A
AU  - Baginski A
AD  - Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland.
FAU - Tomaszewski, K A
AU  - Tomaszewski KA
AD  - International Evidence-Based Anatomy Working Group, Krakow, Poland.
AD  - Faculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krakow 
      University, Krakow, Poland.
LA  - eng
PT  - Journal Article
DEP - 20200512
PL  - Poland
TA  - Folia Morphol (Warsz)
JT  - Folia morphologica
JID - 0374620
SB  - IM
MH  - *Carpal Tunnel Syndrome
MH  - Humans
MH  - *Median Nerve/anatomy & histology/diagnostic imaging
MH  - *Orthopedic Procedures
MH  - Tendons/surgery
MH  - Wrist
OTO - NOTNLM
OT  - anatomical landmarks
OT  - carpal tunnel release
OT  - flexor carpi radialis
OT  - flexor carpi ulnaris
OT  - iatrogenic injury
OT  - median nerve
EDAT- 2020/05/13 06:00
MHDA- 2021/10/12 06:00
CRDT- 2020/05/13 06:00
PHST- 2020/03/10 00:00 [received]
PHST- 2020/03/30 00:00 [accepted]
PHST- 2020/05/13 06:00 [pubmed]
PHST- 2021/10/12 06:00 [medline]
PHST- 2020/05/13 06:00 [entrez]
AID - VM/OJS/J/67919 [pii]
AID - 10.5603/FM.a2020.0049 [doi]
PST - ppublish
SO  - Folia Morphol (Warsz). 2021;80(2):248-254. doi: 10.5603/FM.a2020.0049. Epub 2020 
      May 12.