内窥镜腕管松解术中的术中腕横肌：病例报告。

IF 0.9 4区医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Nagoya Journal of Medical Science Pub Date : 2024-08-01 DOI:10.18999/nagjms.86.3.531

Shunpei Hama, Koji Moriya, Naoto Tsubokawa, Yutaka Maki, Hiroaki Nakamura

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引用次数: 0

摘要

我们在对一名患有左侧腕管综合征（CTS）的 56 岁女性患者进行内窥镜腕管松解术（ECTR）时，在腕横韧带（TCL）前方遇到了名为腕横肌（TCM）的异常肌肉。我们的 ECTR 技术首先是制作远端入口，然后在入口处出现异常肌肉。我们将ECTR改为开放式腕管松解术，以明确TCL周围的解剖结构，避免肌腱和神经血管的先天性损伤。中医不一定存在于双侧，我们的病例也存在于单侧，因为在对侧 ECTR 时没有观察到中医。先行ECTR的远端切口技术使我们找到了中医腱鞘，而如果进行传统的ECTR，我们是无法找到中医腱鞘的。

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Intraoperative transverse carpal muscle during endoscopic carpal tunnel release: a case report.

We encountered the aberrant muscle called transverse carpal muscle (TCM) anterior to the transverse carpal ligament (TCL) during endoscopic carpal tunnel release (ECTR) for a 56-year-old female with left carpal tunnel syndrome (CTS). Our ECTR technique started with making the distal portal and the anomalous muscle emerged in the portal. We changed ECTR to open carpal tunnel release to clarify the anatomy around TCL to avoid iatrogenic tendon and neurovascular injuries. The TCM does not necessarily exist bilaterally, and our case has also it unilaterally, because the TCM was not observed during the ECTR on the opposite side. Distal incision first ECTR technique enabled us to find the TCM which we could not encounter if conventional ECTR was performed.

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来源期刊

Nagoya Journal of Medical Science MEDICINE, RESEARCH & EXPERIMENTAL-

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal publishes original papers in the areas of medical science and its related fields. Reviews, symposium reports, short communications, notes, case reports, hypothesis papers, medical image at a glance, video and announcements are also accepted. Manuscripts should be in English. It is recommended that an English check of the manuscript by a competent and knowledgeable native speaker be completed before submission.