Evidence map›Paper›PMID 32333089›Full record

ArticleSurgical and radiologic anatomy : SRA2020

The superficial anatomical landmarks are not reliable for predicting the recurrent branch of the median nerve.

Vojtech Kunc, Michal Štulpa, Georg Feigl, Carlos Neblett, Vladimír Kunc, David Kachlík

Abstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in Surgical and radiologic anatomy : SRA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 43% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 3 countries.

Vojtech KuncDepartment of Anatomy, Second Faculty of Medicine, Charles University, V Úvalu 84, Motol, 150 06, Prague, Czech Republic.
Michal ŠtulpaDepartment of Anatomy, Second Faculty of Medicine, Charles University, V Úvalu 84, Motol, 150 06, Prague, Czech Republic.
Georg FeiglInstitute of Anatomy, Medical University Graz, Graz, Austria.
Carlos NeblettDepartment of Surgery, Anaesthesia, Radiology and Emergency Medicine, University of the West Indies, Kingston, Jamaica.
Vladimír KuncDepartment of Computer Science, Czech Technical University, Prague, Czech Republic.
David KachlíkDepartment of Anatomy, Second Faculty of Medicine, Charles University, V Úvalu 84, Motol, 150 06, Prague, Czech Republic. david.kachlik@lfmotol.cuni.cz.
Charles University · CZUniversity Hospital in Motol · CZMedical University of Graz · ATUniversity of the West Indies · JM

Funding

Univerzita Karlova v Praze PROGRESS Q37
6 · The paper itself

Abstract

purposeThe variability of the recurrent branch (RB) of the median nerve lends itself to an increased risk of injury when performing the minimally invasive approach for carpal tunnel release without its direct visualization. This risk is less so when it is released via the more invasive open approach as the RB can be easily identified, but the drawback is that of longer postoperative patient recovery time. Therefore, performing these releases via the less invasive approach should be more favorable for patients providing it could be done safely. Hence with there being a positive link between the hypertrophy of the thenar musculature and the course of RB according to previous studies.

methodsWe dissected 28 hands of 14 donated bodies fixed using Thiel's method to try to demonstrate these findings of the associations among the RB, palmar creases and other superficial anatomical landmarks. Fisher's exact test was conducted to verify the relationship between those structures statistically.

resultsStatistically significant links were found between the type of the RB and the type of the palmar creases (p value = 0.0094) and between the RB type and the palmaris longus muscle presence (p value = 0.028).

conclusionIt was inferred that palmar creases and other superficial anatomical landmarks listed in the text could not be used to predict the variability of the RB and the choice of mini-invasive approach should not be based on their course.

Indexed as

Anatomic LandmarksAnatomic VariationCadaverCarpal BonesCarpal Tunnel SyndromeFemaleHandHumansIntraoperative ComplicationsMaleMedian NerveMinimally Invasive Surgical ProceduresRisk AssessmentAnatomical variationCarpal tunnel syndromeHand surgeryMedian nervePalmar creasesRecurrent branch

Identifiers

PMID32333089
OpenAlexW3017548449

What OpenQuestion holds

Textmetadata
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.