Incidental bifid median nerve with a wandering ulnar division separated by the third flexor digitorum superficialis muscle: importance of ultrasound evaluation

Ultrasound evaluation of the median nerve is commonly performed in patients with suspected carpal tunnel syndrome. Radiologists should be familiar with variant anatomy of the median nerve to assist clinicians in the management of these patients, particularly when surgery is being considered. A 63-ye...

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Bibliographic Details
Published in:Radiology case reports 2020-06, Vol.15 (6), p.712-715
Main Authors: Crist, Jamie, Glazebrook, Katrina, McKenzie, Gavin
Format: Article
Language:English
Subjects:
Bifid median nerve
Flexor digitorum superficialis
Musculoskeletal
Musculoskeletal ultrasound
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Summary:Ultrasound evaluation of the median nerve is commonly performed in patients with suspected carpal tunnel syndrome. Radiologists should be familiar with variant anatomy of the median nerve to assist clinicians in the management of these patients, particularly when surgery is being considered. A 63-year-old female was being evaluated for a ganglion cyst and was incidentally found to have a bifid median nerve with wandering ulnar division which coursed superficial to the third digit flexor digitorum superficialis (FDS) muscle belly. The patient did not have any symptoms of carpal tunnel syndrome so surgery has not been performed; however this case highlights the importance of ultrasound evaluation to avoid potential perioperative complications.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2020.03.018