{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T05:18:36Z","timestamp":1788585516091,"version":"build-2803163510"},"reference-count":10,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,3,15]],"date-time":"2023-03-15T00:00:00Z","timestamp":1678838400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vascular"],"published-print":{"date-parts":[[2024,8]]},"abstract":"\n Objectives<\/jats:title>\n Thrombosis of the persistent median artery (PMA) is a rare cause of acute carpal tunnel syndrome (ACTS). Existence of a congenitally absent radial artery in this setting has not been described in the literature<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Computed Tomography Angiography (CTA) and doppler screening were used in pre surgical planning. Open surgical decompression was achieved through the release of the flexor retinaculum in the left hand. A regimen of 100\u00a0mg of Aspirin for 3\u00a0months time was initiated to encourage clot resolution and recanalization of the thrombosed artery.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The PMA was found to be abnormally large measuring approximately 4\u00a0mm in diameter. Visible clotting off of the PMA in keeping with the doppler scans with maintenance of distal flow and was left intact with the hopes that it would recanalize over time. At the 3-month post-op review the antiplatelet therapy was ceased and the patient was symptom free, demonstrated no signs of ischaemia in the hand, and had returned to full functionality and physical activity<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Although infrequently encountered, the knowledge of the anatomical variations of the forearm and hand together with doppler screening and CTA is essential to the surgical management of ACTS.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/17085381231164472","type":"journal-article","created":{"date-parts":[[2023,3,15]],"date-time":"2023-03-15T08:54:57Z","timestamp":1678870497000},"page":"896-899","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Acute carpal tunnel syndrome from thrombosed persistent median artery in a patient with congenitally absent radial artery"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9749-4013","authenticated-orcid":false,"given":"Elizabeth Magdelin","family":"Hines","sequence":"first","affiliation":[{"name":"The Canberra Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris Johnson","family":"Roberts","sequence":"additional","affiliation":[{"name":"The Canberra Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gert","family":"Frahm-Jensen","sequence":"additional","affiliation":[{"name":"The Canberra Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,3,15]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2016.03.005"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0736-4679(99)00011-6"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1973.38.6.0774"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.34239\/ajops.v2i1.71"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(88)80135-7"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/joa.13224"},{"issue":"1","key":"e_1_3_3_8_2","first-page":"43","article-title":"Brachial and antebrachial arterial patterns; a study of 750 extremities","volume":"96","author":"McCormack LJ","year":"1953","unstructured":"McCormack LJ, Cauldwell EW, Anson BJ. Brachial and antebrachial arterial patterns; a study of 750 extremities. Surg Gynecol Obstet 1953; 96(1): 43\u201354.","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1159\/000450575"},{"issue":"2","key":"e_1_3_3_10_2","first-page":"46","article-title":"Thrombosed persistent median artery causing carpal tunnel syndrome associated with bifurcated median nerve: a case report","volume":"76","author":"Salter M","year":"2011","unstructured":"Salter M, Sinha NR, Szmigielski W. Thrombosed persistent median artery causing carpal tunnel syndrome associated with bifurcated median nerve: a case report. Pol J Radiol 2011; 76(2): 46\u201348.","journal-title":"Pol J Radiol"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/j.2205-0140.2015.tb00047.x"}],"container-title":["Vascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17085381231164472","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17085381231164472","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17085381231164472","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T05:01:05Z","timestamp":1788584465000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17085381231164472"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,15]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1177\/17085381231164472"],"URL":"https:\/\/doi.org\/10.1177\/17085381231164472","relation":{},"ISSN":["1708-5381","1708-539X"],"issn-type":[{"value":"1708-5381","type":"print"},{"value":"1708-539X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,15]]}}}