{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T17:56:39Z","timestamp":1787939799247,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","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>In this report, we describe a 41-year-old woman with symptoms concerning for acute carpal tunnel syndrome. Operative exploration resulted in resection of an aneurysmal, thrombosed, persistent median artery seen on preoperative imaging and full recovery by the patient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A persistent median artery is an uncommon congenital hand condition resulting from the failure of the median artery to regress, which can then travel through the carpal tunnel and be associated with a bifid median nerve, irritation of the nerve, and need for surgical exploration if it thromboses, which is rare. This should be considered in patients with acute median nerve compression, without other etiologies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.22.00424","type":"journal-article","created":{"date-parts":[[2022,10,7]],"date-time":"2022-10-07T14:07:52Z","timestamp":1665151672000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":8,"title":["Persistent Median Artery Thrombosis Causing a Bifid Median Nerve and Carpal Tunnel Syndrome"],"prefix":"10.2106","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8718-1574","authenticated-orcid":false,"given":"Meaghan L.","family":"Barr","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of California, Los Angeles"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2377-1364","authenticated-orcid":false,"given":"Nirbhay S.","family":"Jain","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of California, Los Angeles"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8876-052X","authenticated-orcid":false,"given":"Paul A.","family":"Ghareeb","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Plastic and Reconstructive Surgery, Emory University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prosper","family":"Benhaim","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of California, Los Angeles"},{"name":"Department of Orthopaedic Surgery, University of California, Los Angeles"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,10]]},"reference":[{"issue":"5","key":"bib1-20240805","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":"4","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1002\/mus.23797","article-title":"Prevalence of bifid median nerves and persistent median arteries and their association with carpal tunnel syndrome in a sample of latino poultry processors and other manual workers","volume":"48","author":"Walker","year":"2013","journal-title":"Muscle Nerve."},{"key":"bib3-20240805","article-title":"Acute carpal tunnel syndrome caused by thrombosed persistent median artery associated with bifurcated median nerve in a pregnant woman","volume":"2017","author":"Akgun","year":"2017","journal-title":"BMJ Case Rep."},{"issue":"1","key":"bib4-20240805","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":"6 pt 1","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"864","DOI":"10.1016\/S0363-5023(85)80163-5","article-title":"Median artery in carpal tunnel syndrome","volume":"10","author":"Barfred","year":"1985","journal-title":"J Hand Surg Am."},{"issue":"2","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"471","DOI":"10.3171\/jns.2002.97.2.0471","article-title":"Carpal tunnel syndrome caused by thrombosis of the median artery: the importance of high-resolution ultrasonography for diagnosis - case report","volume":"97","author":"Kele","year":"2002","journal-title":"J Neurosurg."},{"issue":"1","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/S0736-4679(01)00436-X","article-title":"Carpal tunnel syndrome from thrombosed persistent median artery","volume":"22","author":"Khashaba","year":"2002","journal-title":"J Emerg Med."},{"issue":"1","key":"bib8-20240805","first-page":"118","article-title":"Acute carpal tunnel syndrome secondary to thrombosis of a persistent median artery (with high division of the median nerve). A case report","volume":"9","author":"NAther","year":"1980","journal-title":"Ann Acad Med Singapore."},{"issue":"51","key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"487","DOI":"10.15557\/JoU.2012.0036","article-title":"Thrombosis of the persistent median artery as a cause of carpal tunnel syndrome \u2013 case study","volume":"12","author":"Rzepecka-Wejs","year":"2012","journal-title":"J Ultrason."},{"issue":"2","key":"bib10-20240805","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."},{"issue":"09","key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1055\/s-0032-1312732","article-title":"Acute carpal tunnel syndrome from dissected and thrombosed persistent median artery diagnosed at magnetic resonance imaging","volume":"184","author":"Vag","year":"2012","journal-title":"RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin."},{"issue":"3","key":"bib12-20240805","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1007\/s00276-009-0600-1","article-title":"MRI of the median nerve and median artery in the carpal tunnel: prevalence of their anatomical variations and clinical significance","volume":"32","author":"Pierre-Jerome","year":"2010","journal-title":"Surg Radiol Anat."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00424","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:42:31Z","timestamp":1787751751000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00424"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":12,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.22.00424","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10]]},"assertion":[{"value":"2022-06-20","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-08-07","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}