title: [Rupture by attrition of the median nerve found during a carpal tunnel release procedure].
abstract: We report the finding of a subtotal rupture of the median nerve caused by a "bridge" or"easel" erosion due to a sequela of childhood wrist fracture. This unpublished observation was made during a carpal tunnel release procedure on an 80-year-old patient who was operated on for recurrence of a severe carpal tunnel syndrome 30 years after a previous neurolysis. If the flexor tendon ruptures are widely described, as well as nerve sections following high energy trauma, the median nerve rupture caused by its erosion over a bony projection has never been published at the best of our knowledge.
authors.affiliation: Service de chirurgie de la main et chirurgie reconstructrice des membres, hôpital de la Conception, 147, boulevard Baille, 13385 Marseille, France. Electronic address: ad_0372@hotmail.com.
authors.forename: A
authors.initials: A
authors.lastname: Delhom
authors.forename: C
authors.initials: C
authors.lastname: Baptista
authors.forename: A
authors.initials: A
authors.lastname: Gay
authors.forename: R
authors.initials: R
authors.lastname: Legré
mesh_terms: D000369:Aged, 80 and over; D002349:Carpal Tunnel Syndrome / Q000601:surgery*; D006801:Humans; D007432:Intraoperative Period; D008297:Male; D008475:Median Nerve / Q000293:injuries*; D012421:Rupture / Q000175:diagnosis
keywords: Attrition; Cal vicieux; Canal carpien; Carpal tunnel; Fracture sequelae; Nervous rupture; Recurrence; Rupture nerveuse; Récidive; Usure