High-resolution sonographic study of the communicating branch of Berrettini: an anatomical feasibility study

High-resolution sonographic study of the communicating branch of Berrettini: an anatomical feasibility study

Sensory changes are common manifestations of nerve complications of carpal tunnel surgery. Division or contusion of a superficial communicating branch between the median nerve and the ulnar nerve, the communicating branch of Berrettini, can explain these symptoms. The aim of this study was to descri...

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Veröffentlicht in:The Journal of hand surgery, European volume European volume, 2021-09, Vol.46 (7), p.738-742
Hauptverfasser: Dukan, Ruben, Otayek, Salma, Pierrart, Jerome, Otayek, Mansour, Silvera, Jonathan, Masmejean, Emmanuel H.
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container_issue 7
container_start_page 738
container_title The Journal of hand surgery, European volume
container_volume 46
creator Dukan, Ruben
Otayek, Salma
Pierrart, Jerome
Otayek, Mansour
Silvera, Jonathan
Masmejean, Emmanuel H.
description Sensory changes are common manifestations of nerve complications of carpal tunnel surgery. Division or contusion of a superficial communicating branch between the median nerve and the ulnar nerve, the communicating branch of Berrettini, can explain these symptoms. The aim of this study was to describe the potential value of high-resolution sonography to examine this branch. We conducted a study on eight fresh cadaver hands. An ultrasound assessment of the communicating branch of Berrettini, accompanied by an injection of methylene blue, was performed by a senior radiologist. Subsequent dissections confirmed that the eight guided ultrasound injections allowed the methylene blue to be placed around the origin and termination of the communicating branch of Berrettini. This study extends the limits of ultrasound both in the postoperative diagnosis of potential nerve complications and its possible use in ultrasound-guided carpal tunnel release.
doi_str_mv 10.1177/1753193421999638
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title High-resolution sonographic study of the communicating branch of Berrettini: an anatomical feasibility study
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