Morphological variations of median nerve observed in patients during carpal tunnel release surgery: A cross-sectional study conducted in a Tertiary Care Hospital of District Nowshera, Pakistan.

Abstract

Objective: To study the morphological variations of median nerve observed in sick persons during carpal tunnel release operation. Study Design: Cross Sectional study. Setting: Qazi Hussain Ahmad Medical Complex, Nowshera. Period: One year (November, 2019 till October, 2020). Material & Methods: This Cross-sectional study was conducted after obtaining ethical approval from the Institutional Ethical Review Board (IERB), NMC in which people were tracked with mild to severe carpal tunnel symptoms for a year. Less than 24 hours after their arrival, the victims were operated on under local anesthesia in Qazi Hussain Ahmad Medical Complex, Nowshera, Pakistan. Each surgical method viewed the nerve. Branches around the carpal tunnel were seen and documented on a spreadsheet. 150 were planned. The statistics were in percentages. Results: In 150 instances, 102 (68%) were female and 48 (32%) were male. 138 (92%) individuals showed normal median nerve morphology, whereas 12 (8%) had aberrant branching. The transverse carpel ligament had significant splitting. There was a persisting median in three of the 12 instances. Conclusion: The top division of the median nerve showed altered branching morphology. As with the persistent median artery, recurring median artery raises the chance of median nerve dysfunction.