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Updated: Aug 6, 2026

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Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
Proximal origin transligamentous recurrent motor branch of the median nerve: implications for surgical safety
Jabez Vhanda1, Joan Arenas-Prat2
1University Hospitals of Derby and Burton, UK.
The Journal of Hand Surgery, European Volume
|July 22, 2026
Abstract:
An anomalous motor branch of the median nerve with proximal origin and traversing the transverse carpal ligament was encountered during carpal tunnel release, which could create an additional proximal danger zone. We recommend deliberate ulnar-sided and proximal to distal ligament division to minimize risk of damage to anatomic variants of the median nerve.
