Anomalous anastomoses between the nerves of the hand are not as rare as thought to be. Amongst these, the Riche–Cannieu anastomosis (RCA) is a connection between the ulnar nerve and median motor nerve in the palm. Presence of this can sometimes be misdiagnosed as a severe median mononeuropathy at the wrist/carpal tunnel syndrome (CTS).
Stefano Lucchina
Dear Mohamed,
read the recent article by MR Colonna et al. on Hand Dec 2020.
Maybe that article and Its references (see Colonna Microsurgery 2018) can be helpful to you.
Reg
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