{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:38:54Z","timestamp":1787755134199,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report 2 cases of a spiral nerve variant that has only 1 previously reported description in the literature. A pretendinous cord was found to branch into a \u201cY\u201d configuration, extending distally on both the radial and ulnar sides of the same digit, with the radial and ulnar digital nerves spiraling around each limb of the \u201cY cord\u201d.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Rare spiral nerve variants exist which place the digital neurovascular bundles (NVBs) at risk. Awareness of these variants and adherence to conservative surgical principles allow the surgeon to identify these scenarios intraoperatively and safely dissect the digital NVBs free of pathologic tissue.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00793","type":"journal-article","created":{"date-parts":[[2021,5,12]],"date-time":"2021-05-12T15:00:07Z","timestamp":1620831607000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["The \u201cY\u201d Double Spiral Cord: An Anatomic Variant of Dupuytren Disease"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1521-8320","authenticated-orcid":false,"given":"James","family":"Hubbard","sequence":"first","affiliation":[{"name":"Division of Hand, Upper Extremity, and Microvascular Surgery, Department of Orthopaedic Surgery, University of California San Diego (UCSD), San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3576-4970","authenticated-orcid":false,"given":"Sean S.","family":"Li","sequence":"additional","affiliation":[{"name":"Division of Hand, Upper Extremity, and Microvascular Surgery, Department of Orthopaedic Surgery, University of California San Diego (UCSD), San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1195-2491","authenticated-orcid":false,"given":"Aakash","family":"Chauhan","sequence":"additional","affiliation":[{"name":"Division of Hand, Upper Extremity, and Microvascular Surgery, Department of Orthopaedic Surgery, University of California San Diego (UCSD), San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0388-6348","authenticated-orcid":false,"given":"Reid","family":"Abrams","sequence":"additional","affiliation":[{"name":"Division of Hand, Upper Extremity, and Microvascular Surgery, Department of Orthopaedic Surgery, University of California San Diego (UCSD), San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,4]]},"reference":[{"issue":"4","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"635","DOI":"10.2106\/00004623-195941040-00008","article-title":"Dupuytren's contracture; a new concept of the pathogenesis correlated with surgical management","volume":"41-A","author":"Luck","year":"1959","journal-title":"J Bone Joint Surg Am."},{"issue":"4","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1016\/S0749-0712(21)00900-8","article-title":"Diagnosis and indications for surgical treatment","volume":"7","author":"Smith","year":"1991","journal-title":"Hand Clin."},{"issue":"5","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1016\/j.jhsa.2005.05.008","article-title":"The complications of Dupuytren's contracture surgery","volume":"30","author":"Bulstrode","year":"2005","journal-title":"J Hand Surg Am."},{"issue":"10","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"e3212","DOI":"10.1097\/GOX.0000000000003212","article-title":"Double spiral dupuytren's disease: case of ulnar and radial spiral cords in shared digit","volume":"8","author":"Kator","year":"2020","journal-title":"Plast Reconstr Surg Glob Open."},{"issue":"2","key":"bib5-20240805","first-page":"97","article-title":"Dupuytren's disease and the relationship between the transverse and longitudinal fibers of the palmar fascia: a dissection study","volume":"10","author":"Holland","year":"1997","journal-title":"Clin Anat Official J Am Assoc Clin Anatomists Br Assoc Clin Anatomists."},{"issue":"1","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1097\/00006534-197407000-00004","article-title":"Patterns of the diseased fascia in the fingers in Dupuytren's contracture. Displacement of the neurovascular bundle","volume":"54","author":"McFarlane","year":"1974","journal-title":"Plast Reconstr Surg."},{"issue":"2","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1177\/1753193409349855","article-title":"Spiralling of the neurovascular bundle in Dupuytren's disease","volume":"35","author":"Hettiaratchy","year":"2010","journal-title":"J Hand Surg."},{"issue":"1","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1016\/S0363-5023(85)80262-8","article-title":"The isolated digital cord in Dupuytren's contracture: anatomy and clinical significance","volume":"10","author":"Strickland","year":"1985","journal-title":"J Hand Surg Am."},{"issue":"1","key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1016\/S0363-5023(82)80020-8","article-title":"Prediction of the spiral nerve in Dupuytren's contracture","volume":"7","author":"Short","year":"1982","journal-title":"J Hand Surg Am."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.00793","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:38:05Z","timestamp":1787751485000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.00793"}},"subtitle":["A Report of 2 Cases"],"short-title":[],"issued":{"date-parts":[[2021,4]]},"references-count":9,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.20.00793","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4]]}}}