The dual tendon palmaris longus variant causing dynamic median nerve compression in the forearm.

J Plast Reconstr Aesthet Surg

Department of Plastic Surgery, Wexham Park Hospital, Wexham Street, Slough, Buckinghamshire SL2 4HL, United Kingdom.

Published: August 2012

AI Article Synopsis

  • The article discusses a unique variant of the palmaris longus muscle that can compress the median nerve in the forearm.
  • While there are known variations of the palmaris longus, this specific dual tendon with a central muscle belly is the first reported case causing nerve compression.
  • This case highlights the importance of understanding anatomical variations for surgeons and introduces a new way nerves can be compressed in the forearm.

Article Abstract

This article describes a variant of palmaris longus muscle resulting in median nerve compression in the mid forearm. Although the palmaris longus has several well-documented anomalies, these seldom lead to nerve compression. The dual tendon, central muscle belly variant observed in this case is the first of its kind to be reported causing compressive neuropathy at this level. This is of both anatomical and clinical interest as it reminds surgeons of the anatomical variations of this unique muscle and presents a new mechanism of nerve compression in the forearm.

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Source
http://dx.doi.org/10.1016/j.bjps.2012.03.023DOI Listing

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