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Nikolenko V.N.

Chair of Normal Anatomy, Sechenov First Moscow State Medical University of Ministry of Health of Russia, Moscow, Russia

Oganesian M.V.

Chair of Normal Anatomy, Sechenov First Moscow State Medical University of Ministry of Health of Russia, Moscow, Russia

Konnik V.Yu.

Chair of Normal Anatomy, Sechenov First Moscow State Medical University of Ministry of Health of Russia, Moscow, Russia

Orlov E.A.

Chair of Normal Anatomy, Sechenov First Moscow State Medical University of Ministry of Health of Russia, Moscow, Russia

Acute carpal tunnel syndrome regarding clinico-anatomical point of view in personified medicine

Authors:

Nikolenko V.N., Oganesian M.V., Konnik V.Yu., Orlov E.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2019;(6): 94‑100

DOI: 10.17116/hirurgia201906194

Read: 5585 times

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ACUTE CARPAL TUNNEL SYNDROME REGARDING CLINICO-ANATOMICAL POINT OF VIEW IN PERSONIFIED MEDICINE
ACUTE CARPAL TUNNEL SYNDROME REGARDING CLINICO-ANATOMICAL POINT OF VIEW IN PERSONIFIED MEDICINE

To cite this article:

Nikolenko VN, Oganesian MV, Konnik VYu, Orlov EA. Acute carpal tunnel syndrome regarding clinico-anatomical point of view in personified medicine. Pirogov Russian Journal of Surgery. 2019;(6):94‑100. (In Russ.)
https://doi.org/10.17116/hirurgia201906194

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Carpal tunnel syndrome (CTS) requires special attention due to its different reasons and course. Knowledge about the variability of median nerve (MN) topography in carpal canal region, features of diagnosis and treatment extends outlooks on this pathology. Aggregating rare clinical cases from the Medline and Pubmed databases is useful to form personified approach. There are 3 types of topographic variations which should be considered to prevent false-positive diagnosis of pathology: recurrent branch location, early bi- and trifurcations of MN, anastomoses. Since acute CTS is treated only by surgery, every surgical approach is aimed at minimally invasiveness and fast recovery. Endoscopic decompression (ED) is more favorable regarding these aspects. However, this method cannot be considered as perfect due to available data about incomplete decompression and certain incidence of recurrences. The last ones are absent after microsurgical decompression as a rule. It can be concluded that only individual approach is advisable for complete release of CTS without iatrogenic damage and recurrences.

Keywords:

median nerve
carpal tunnel syndrome
personified approach

Authors:

Nikolenko V.N.

Chair of Normal Anatomy, Sechenov First Moscow State Medical University of Ministry of Health of Russia, Moscow, Russia

Oganesian M.V.

Chair of Normal Anatomy, Sechenov First Moscow State Medical University of Ministry of Health of Russia, Moscow, Russia

Konnik V.Yu.

Chair of Normal Anatomy, Sechenov First Moscow State Medical University of Ministry of Health of Russia, Moscow, Russia

Orlov E.A.

Chair of Normal Anatomy, Sechenov First Moscow State Medical University of Ministry of Health of Russia, Moscow, Russia

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