Evidence map›Paper›PMID 24037717›Full record

ArticleMuscle & nerve2013

Prevalence of bifid median nerves and persistent median arteries and their association with carpal tunnel syndrome in a sample of Latino poultry processors and other manual workers.

Francis O Walker, Michael S Cartwright, Jill N Blocker, Thomas A Arcury, Jung I M Suk, Haiying Chen, Mark R Schulz, Mark R Schultz, Joseph G Grzywacz, Dana C Mora and 1 more

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Muscle & nerve, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.5field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 76 citations in OpenAlex.

  1. Current Surgical Trends in Carpal Tunnel Syndrome.Archives of plastic surgery · 2026
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  3. Observational
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  12. Review
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  14. Review
  15. Identification of Aberrant Muscle Bellies in the Carpal Tunnel using Sonography.Journal of diagnostic medical sonography : JDMS · 2019
    Article
  16. Review
  17. Article
  18. Article
  19. Persistent median artery thrombosis: A rare cause of carpal tunnel syndrome.Australasian journal of ultrasound in medicine · 2015
    Article
  20. Article
4 · The record

Corrections and comments

  • Erratum issued
    Schultz, Mark R [corrected to Schulz, Mark R]
5 · Who and what money

Authors and funding

11 authors at 3 institutions in 2 countries.

Francis O WalkerDepartment of Neurology, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, North Carolina, 27157-1078, USA; Center for Worker Health, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Michael S Cartwright
Jill N Blocker
Thomas A Arcury
Jung I M Suk
Haiying Chen
Mark R Schulz
Mark R Schultz
Joseph G Grzywacz
Dana C Mora
Sara A Quandt
Wake Forest University · USCatholic University of Daegu · KRUniversity of North Carolina at Greensboro · US

Funding

Occupational Injuries Among Immigrant Poultry Workers: Development & ProgressionR01OH009251 · OH · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI QUANDT, SARA A · 2008 to 2011
$2.7M
Diagnostic Ultrasound for Focal NeuropathiesK23NS062892 · NINDS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI CARTWRIGHT, MICHAEL STEPHEN · 2009 to 2013
$703k
NINDS NIH HHS 1K23NS062892NINDS NIH HHS K23 NS062892NIOSH CDC HHS R01 OH009251NIOSH CDC HHS R01 OH9251
6 · The paper itself

Abstract

introductionThe prevalence of bifid median nerves and persistent median arteries, their co-occurrence, and their relationship to carpal tunnel syndrome (CTS) are only understood partially.

methodsWe screened 1026 wrists of 513 Latino manual laborers in North Carolina for bifid median nerves and persistent median arteries using electrodiagnosis and ultrasound.

resultsA total of 8.6% of wrists had a bifid median nerve, and 3.7% of wrists had a persistent median artery independent of subgroup ethnicity, age, gender, or type of work. An association with definite carpal tunnel syndrome was not found. The presence of either anatomic variant was associated with a high likelihood of co-occurrence of another variant in the same or the contralateral wrist.

conclusionsThe occurrence of median anatomic variants can be determined in field studies using ultrasound. Persistent median arteries and bifid median nerves tend to co-occur but do not put manual laborers at additional risk of developing CTS.

Indexed as

AdultBrachial ArteryCarpal Tunnel SyndromeFemaleFood IndustryHispanic or LatinoHumansMaleMedian NeuropathyMiddle AgedNorth CarolinaOccupational DiseasesPeripheral Arterial DiseasePrevalenceUltrasonographyWorkforceentrapment neuropathyepidemiologyneuromuscular ultrasoundoccupational healthpoultry workers

Identifiers

PMID24037717
PMCPMC3836559
OpenAlexW2131067320

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.