{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:47:55Z","timestamp":1787755675519,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 51-year-old man presented with pain and paresthesias in the median nerve distribution and a subjective loss of grip strength. Imaging revealed a thrombosed persistent median artery in the carpal tunnel abutting the median nerve. The thrombosed portion of the artery was surgically excised, and the patient experienced resolution of symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Persistent median artery thrombosis is rare and can cause carpal tunnel syndrome. Ultrasound is a useful tool for diagnosis and appropriate surgical planning. Although treatment with systemic anticoagulation is an option, surgical excision resulted in resolution of symptoms and an excellent short-term outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00139","type":"journal-article","created":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T11:01:31Z","timestamp":1597230091000},"page":"e20.00139-e20.00139","source":"Crossref","is-referenced-by-count":5,"title":["Surgical Excision of a Thrombosed Persistent Median Artery Causing Carpal Tunnel\u2013Like Symptoms"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2598-0802","authenticated-orcid":false,"given":"Douglas W.","family":"Bartels","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9658-8192","authenticated-orcid":false,"given":"Alexander Y.","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"4","key":"bib1-20230720","first-page":"193","article-title":"Persistent median artery in the carpal tunnel: anatomy, embryology, clinical significance, and review of the literature","volume":"68","author":"Natsis","year":"2009","journal-title":"Folia Morphol (Warsz)."},{"issue":"5","key":"bib2-20230720","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1002\/ca.21127","article-title":"Persistent median artery: cadaveric study and review of the literature","volume":"24","author":"Eid","year":"2011","journal-title":"Clin Anat."},{"issue":"9","key":"bib3-20230720","first-page":"1454","article-title":"Prevalence of the persistent median artery","volume":"6","author":"Singla","year":"2012","journal-title":"J Clin Diagn Res."},{"issue":"9","key":"bib4-20230720","doi-asserted-by":"crossref","first-page":"2235","DOI":"10.1002\/jum.14576","article-title":"Prevalence of persistent median arteries in the pediatric population on ultrasonography","volume":"37","author":"Carry","year":"2018","journal-title":"J Ultrasound Med."},{"issue":"1","key":"bib5-20230720","doi-asserted-by":"crossref","first-page":"25","DOI":"10.3109\/23320885.2016.1166964","article-title":"Persistent median artery in the carpal tunnel and anastomosis with superficial palmar arch","volume":"3","author":"Bijannejad","year":"2016","journal-title":"Case Rep Plast Surg Hand Surg."},{"issue":"4","key":"bib6-20230720","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1007\/s00276-015-1544-2","article-title":"Prevalence of persistent median artery in carpal tunnel syndrome: sonographic assessment","volume":"38","author":"Altinkaya","year":"2016","journal-title":"Surg Radiol Anat."},{"issue":"1","key":"bib7-20230720","first-page":"1","article-title":"US demonstration of a thrombosed persistent median artery in carpal tunnel syndrome","volume":"85","author":"Fumiere","year":"2002","journal-title":"JBR-BTR."},{"issue":"1","key":"bib8-20230720","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1002\/mus.24896","article-title":"Ultrasound imaging for diagnosis and follow-up of persistent median artery thrombosis","volume":"53","author":"Ata","year":"2016","journal-title":"Muscle Nerve."},{"issue":"2","key":"bib9-20230720","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1111\/papr.12838","article-title":"Thrombosed persistent median artery diagnosed by ultrasonography and treated with oral anticoagulant","volume":"20","author":"Shyu","year":"2020","journal-title":"Pain Pract."},{"issue":"2","key":"bib10-20230720","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","year":"2011","journal-title":"Polish J Radiol."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.00139","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:46:54Z","timestamp":1787752014000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.00139"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":10,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.20.00139","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]}}}