6533b873fe1ef96bd12d4c28

RESEARCH PRODUCT

Median-to-Ulnar Nerve Communication in Carpal Tunnel Syndrome: An Electrophysiological Study

Laura FerriSalvatore IaconoAndrea GagliardoMichela VitaleFilomena BarboneAntonio Di MuzioAntonino LupicaVincenzo Di StefanoFilippo Brighina

subject

medicine.medical_specialtyPopulationcarpal tunnel syndromeNeurosciences. Biological psychiatry. NeuropsychiatryGastroenterologyAsymptomaticArticle03 medical and health sciences0302 clinical medicineInternal medicinemedicineulnar neuropathy at elbowMartin-Gruber anastomosisCarpal tunnel syndromeUlnar nerveeducationInternal medicine030222 orthopedicseducation.field_of_studybusiness.industryRmedicine.diseaseRC31-1245Median nervenervous system diseasesbody regionsElectrophysiologymedicine.anatomical_structuremedian nerveMedicineUpper limbSettore MED/26 - Neurologiaulnar nerveNeurology (clinical)medicine.symptomneurophysiologybusinessMartin-Gruber Anastomosis030217 neurology & neurosurgeryRC321-571

description

The median-to-ulnar communicating branch (MUC) is an asymptomatic variant of the upper limb innervation that can lead to interpretation errors in routine nerve conduction studies. The diagnosis of carpal tunnel syndrome (CTS) or ulnar nerve lesions can be complicated by the presence of MUC. In this study, we describe electrophysiological features of MUC in CTS patients presenting to our clinic. We enrolled MUB cases from consecutive CTS patients referred to our laboratory between the years 2014 and 2019. MUC was present in 53 limbs (36 patients) from the studied population. MUC was bilateral in 53% of patients. MUC type II was the most common subtype (74%), followed by types III and I

10.3390/neurolint13030031http://dx.doi.org/10.3390/neurolint13030031