Evidence map›Paper›PMID 41635723›Full record

ArticlePlastic and reconstructive surgery. Global open2026

Minimally Invasive Endoscopic Palmaris Longus Abductorplasty for Severe Carpal Tunnel Syndrome and Thenar Muscle Paralysis Reconstruction.

Dawn Sinn Yii Chia, Suraj Sajeev

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Dawn Sinn Yii ChiaFrom the Hand and Reconstructive Microsurgery, Department of Orthopaedic Surgery, Sengkang General Hospital, Singapore.
Suraj SajeevFrom the Hand and Reconstructive Microsurgery, Department of Orthopaedic Surgery, Sengkang General Hospital, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Functional deficits in severe carpal tunnel syndrome arise from a combination of persistent diminished sensation and thenar muscle paralysis, leading to the disruption of thumb kinematics. Decompression alone does not address thenar atrophy. To restore thumb function, tendon transfers from donors, such as the palmaris longus, have been described. However, palmaris longus abductorplasty has disadvantages, including extensive dissection and large wounds, which increase the risk of higher morbidity, scarring, increased pain, and delayed rehabilitation. We introduce a minimally invasive endoscopic technique of tendon harvest for thenar abductorplasty to minimize morbidity. This technique can be used with a simultaneous endoscopic carpal tunnel decompression. The average surgical time was 47 minutes for combined endoscopic carpal tunnel decompression and tendon transfer procedures. The final outcomes at 6 months showed a pinch strength of 1-3.5 kgF, or 74.8% of the contralateral side. The introduction of the endoscopic technique for tendon transfer heralds a new direction in minimally invasive surgery.

Identifiers

PMID41635723
PMCPMC12863828

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.