Bilateral Triad of Persistent Median Artery, a Bifid Median Nerve and High Origin of its Palmar Cutaneous Branch: A Case Report and Clinical Implications

We report the association of a persistent median artery, a bifid median nerve with a rare very high origin palmar cutaneous branch, presenting bilaterally in the upper limb of a 75-year-old female cadaver. The persistent median nerve with a bifid median nerve has been reported in patients presenting...

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Autores principales:	Ariyo,Olutayo, Shea,John
Lenguaje:	English
Publicado:	Sociedad Chilena de Anatomía 2016
Materias:	Carpal tunnel syndrome High arising palmar cutaneous branch Inadvertent ligation Persistent median nerve Bifid median nerve
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000300030
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spelling	oai:scielo:S0717-950220160003000302016-11-17Bilateral Triad of Persistent Median Artery, a Bifid Median Nerve and High Origin of its Palmar Cutaneous Branch: A Case Report and Clinical ImplicationsAriyo,OlutayoShea,John Carpal tunnel syndrome High arising palmar cutaneous branch Inadvertent ligation Persistent median nerve Bifid median nerve We report the association of a persistent median artery, a bifid median nerve with a rare very high origin palmar cutaneous branch, presenting bilaterally in the upper limb of a 75-year-old female cadaver. The persistent median nerve with a bifid median nerve has been reported in patients presenting with carpal tunnel syndrome. Reports of this neurovascular anomaly occurring in association with a high origin palmar cutaneous branch however, are few. This subset of patients is at risk of inadvertent nerve transection during forearm and wrist surgery. Pre-operative magnetic resonance imaging (MRI) and high resolution sonography (HRS) can be used to screen this triad. MRI can reveal if the patient's disability is associated with a persistent median nerve, a bifid median nerve. HRS can help identify a palmar cutaneous branch of the median nerve that arises in an unexpected high forearm location. Such knowledge will help surgeons in selecting the most appropriate surgical procedure, and help avoid inadvertent injury to cutaneous nerves arising in unexpected locations. In patients presenting with a bilateral carpal tunnel syndrome, hand surgeons should consider very high on the list of differential diagnosis a persistent median artery with a concomitant bifid median nerve, with a high suspicion of a possible bilateral occurrence of a bilaterally high arising palmar cutaneous branch of the median nerve.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.34 n.3 20162016-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000300030en10.4067/S0717-95022016000300030
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	Carpal tunnel syndrome High arising palmar cutaneous branch Inadvertent ligation Persistent median nerve Bifid median nerve
spellingShingle	Carpal tunnel syndrome High arising palmar cutaneous branch Inadvertent ligation Persistent median nerve Bifid median nerve Ariyo,Olutayo Shea,John Bilateral Triad of Persistent Median Artery, a Bifid Median Nerve and High Origin of its Palmar Cutaneous Branch: A Case Report and Clinical Implications
description	We report the association of a persistent median artery, a bifid median nerve with a rare very high origin palmar cutaneous branch, presenting bilaterally in the upper limb of a 75-year-old female cadaver. The persistent median nerve with a bifid median nerve has been reported in patients presenting with carpal tunnel syndrome. Reports of this neurovascular anomaly occurring in association with a high origin palmar cutaneous branch however, are few. This subset of patients is at risk of inadvertent nerve transection during forearm and wrist surgery. Pre-operative magnetic resonance imaging (MRI) and high resolution sonography (HRS) can be used to screen this triad. MRI can reveal if the patient's disability is associated with a persistent median nerve, a bifid median nerve. HRS can help identify a palmar cutaneous branch of the median nerve that arises in an unexpected high forearm location. Such knowledge will help surgeons in selecting the most appropriate surgical procedure, and help avoid inadvertent injury to cutaneous nerves arising in unexpected locations. In patients presenting with a bilateral carpal tunnel syndrome, hand surgeons should consider very high on the list of differential diagnosis a persistent median artery with a concomitant bifid median nerve, with a high suspicion of a possible bilateral occurrence of a bilaterally high arising palmar cutaneous branch of the median nerve.
author	Ariyo,Olutayo Shea,John
author_facet	Ariyo,Olutayo Shea,John
author_sort	Ariyo,Olutayo
title	Bilateral Triad of Persistent Median Artery, a Bifid Median Nerve and High Origin of its Palmar Cutaneous Branch: A Case Report and Clinical Implications
title_short	Bilateral Triad of Persistent Median Artery, a Bifid Median Nerve and High Origin of its Palmar Cutaneous Branch: A Case Report and Clinical Implications
title_full	Bilateral Triad of Persistent Median Artery, a Bifid Median Nerve and High Origin of its Palmar Cutaneous Branch: A Case Report and Clinical Implications
title_fullStr	Bilateral Triad of Persistent Median Artery, a Bifid Median Nerve and High Origin of its Palmar Cutaneous Branch: A Case Report and Clinical Implications
title_full_unstemmed	Bilateral Triad of Persistent Median Artery, a Bifid Median Nerve and High Origin of its Palmar Cutaneous Branch: A Case Report and Clinical Implications
title_sort	bilateral triad of persistent median artery, a bifid median nerve and high origin of its palmar cutaneous branch: a case report and clinical implications
publisher	Sociedad Chilena de Anatomía
publishDate	2016
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000300030
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Bilateral Triad of Persistent Median Artery, a Bifid Median Nerve and High Origin of its Palmar Cutaneous Branch: A Case Report and Clinical Implications

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