The lumbrical muscle flap: Anatomic study and clinical application

Koncilia, H.; Kuzbari, Rafic; Worseg, Artur; Tschabitscher, Manfred; Holle, J.

doi:10.1016/s0363-5023(98)80098-1

Cited by 33 publications

(17 citation statements)

References 15 publications

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“…Risk factors for poor surgical results include: unsettled legal action, major alcohol use, poor mental health and poor patient functional scores. [46][47][48][49] …”

Section: Outcomes/results Of Treatment/prognosismentioning

confidence: 99%

Carpal Tunnel Syndrome

Doumas

2014

Rev LibrOfMed

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SummaryCarpal tunnel syndrome is a very common condition where the median nerve gets pinched at the wrist and hand. The patient can experience pain, weakness and burning feelings in the hands and fingers. The involved fingers are usually the thumb, index (pointer), long (middle) and half of the ring finger. Causes are due to changes in anatomy, general medical illnesses and possibly work-related conditions. Treatments include supports, therapy, steroid injections or surgery. The diagnosis is usually made by history and physical exam and a nerve conduction study that checks the speed and function of the nerves. Non-operative and operative treatments have been successful in most patients having carpal tunnel syndrome. The treatment outcomes of open and endoscopic carpal tunnel release have been shown to be the same at three months.Background Information

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“…Risk factors for poor surgical results include: unsettled legal action, major alcohol use, poor mental health and poor patient functional scores. [46][47][48][49] …”

Section: Outcomes/results Of Treatment/prognosismentioning

confidence: 99%

Carpal Tunnel Syndrome

Doumas

2014

Rev LibrOfMed

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“…Son volume en languette permet en général la fermeture en un temps et en fait un choix très esthétique. Les lambeaux de premier ou de deuxième lombrical [56] sont peu utilisés dans cette application. Le lambeau de court palmaire proposé par Rose et al [34] est un procédé élégant, car le muscle rectangulaire se retourne comme une page de livre sur le nerf médian.…”

Section: Apports Biologiquesunclassified

Récidives de syndrome du tunnel carpien

Raimbeau

2008

Chirurgie de la Main

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“…The 2 smaller ulnar muscles are bipenate. Koncilia et al 24 described the vascular anatomy and used this flap to cover the carpal tunnel. The 2 radial lumbricals are the largest and can be transposed as proximally based vascular island flaps (Fig.…”

Section: The Lumbrical Flapmentioning

confidence: 99%

“…A single branch of the radial digital nerve to the index finger innervates the first lumbrical, and a single branch of the common digital nerve to the second web space innervates the second lumbrical muscle. 24 Koncilia et al 24 did not report any donor site morbidity, and offered the explanation that all functions of the lumbrical muscles are easily recovered by stronger synergistic interosseous muscles. If considering the lumbrical flap in recurrent carpal tunnel surgery, one should carefully measure the requiring coverage, as each muscle is approximately one centimeter in width.…”

Section: The Lumbrical Flapmentioning

confidence: 99%

Treatment Options for Recurrent Carpal Tunnel Syndrome: Local Flaps

Rodrigues

Shin

2006

Techniques in Orthopaedics

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Idiopathic carpal tunnel syndrome (CTS) has become one of the most common peripheral neuropathies of the upper extremity in the United States, and carpal tunnel release is one of the most commonly performed surgeries of the hand. Primary surgical release of median nerve compression at the wrist usually affords good symptomatic relief, but a small but significant number of surgical failures exist. Before committing to surgery, aggressive nonsurgical management should be exhausted. Significant benefits from splinting, ultrasound, nerves gliding exercises, and carpal bone mobilization have been obtained in mild to moderate primary carpal tunnel, and similar therapy may prove beneficial for a patient with recurrent symptoms. If refractory to aggressive conservative management and objective evidence exists to support recurrent CTS, then the etiology of recurrent carpal tunnel syndrome may include incomplete release of the transverse carpal ligament, fibrous proliferation, and recurrent tenosynovitis. Many techniques are available to treat the condition. Treatment can range from a simple strait forward approach to a complex constellation of procedures including external and internal neurolysis and vascularized flap coverage. The purpose of this chapter is to describe the etiology of recurrent CTS lending support for an appropriate treatment plan to address the pathology. In all cases, the objective is to provide a favorable environment for the median nerve in which normal excursion is possible.

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The lumbrical muscle flap: Anatomic study and clinical application

Cited by 33 publications

References 15 publications

Carpal Tunnel Syndrome

Carpal Tunnel Syndrome

Récidives de syndrome du tunnel carpien

Treatment Options for Recurrent Carpal Tunnel Syndrome: Local Flaps

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