{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T00:25:15Z","timestamp":1744763115683},"reference-count":37,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2014,7,7]],"date-time":"2014-07-07T00:00:00Z","timestamp":1404691200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Carpal tunnel syndrome is the most common compression neuropathy of the extremity. The most frequent occurring post\u2010operative complication of open carpal tunnel release is the incomplete release of the transverse carpal ligament. A constant pad of palmar fat pad has been found to provide a reliable indicator of the distal extent of the surgical decompression of the transverse carpal ligament. We investigated the colour difference between subcutaneous fat and palmar fat pad.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a prospective case series of 15 patients undergoing open carpal tunnel release. Digital images of the patients' subcutaneous and palmar fat were taken. The colour of each type of fat was described in a device independent, objective manner using the <jats:styled-content style=\"fixed-case\">CIEL<\/jats:styled-content>ab colour space. The colour difference was measured using \u0394<jats:styled-content style=\"fixed-case\"><jats:italic>E<\/jats:italic><\/jats:styled-content>, the <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>uclidean distance between the <jats:styled-content style=\"fixed-case\">CIEL<\/jats:styled-content>ab coordinates of the colours. <jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>ilcoxon signed\u2010rank test was used to compare colour character differences between subcutaneous and palmar fat. The colour difference, \u0394<jats:styled-content style=\"fixed-case\"><jats:italic>E<\/jats:italic><\/jats:styled-content>, was assessed and reported with 95% confidence intervals (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There is a visually detectable colour difference between subcutaneous and palmar fat. The minimum \u0394<jats:styled-content style=\"fixed-case\"><jats:italic>E<\/jats:italic><\/jats:styled-content> was 4.45. The mean \u0394<jats:styled-content style=\"fixed-case\"><jats:italic>E<\/jats:italic><\/jats:styled-content> was 13.03 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 9.79\u201316.27). The palmar fat pad is more yellow than the subcutaneous fat (<jats:italic>P<\/jats:italic>\u2009=\u20090.002).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our findings can assist in the identification of the palmar fat pad to ensure safer and a complete release of the transverse carpal ligament in carpal tunnel release.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.12754","type":"journal-article","created":{"date-parts":[[2014,7,8]],"date-time":"2014-07-08T02:15:38Z","timestamp":1404785738000},"page":"856-860","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Colour difference of subcutaneous fat and palmar fat pad in open carpal tunnel release"],"prefix":"10.1111","volume":"84","author":[{"given":"Ferraby","family":"Ling","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery The Alfred  Melbourne Victoria Australia"},{"name":"Department of Orthopaedic Surgery North West Area Health Service  Burnie Tasmania Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eldho","family":"Paul","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Preventive Medicine School of Public Health and Preventive Medicine Monash University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Russell","family":"Furzer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery North West Area Health Service  Burnie Tasmania Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,7,7]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197355060-00008"},{"key":"e_1_2_6_3_1","first-page":"8","article-title":"Palmar approach in carpal tunnel syndrome. 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