{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:22:42Z","timestamp":1787754162312,"version":"build-2784847793"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","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>A 56-year-old woman underwent carpal tunnel release, which was complicated by postoperative tethering and local compression of her transligamentous thenar motor branch (TMB) by the radial leaflet of the transverse carpal ligament (TCL). This resulted in postoperative thenar dysfunction and motor weakness. Revision carpal tunnel release with neurolysis of the median nerve and TMB resulted in improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Postoperative tethering of a transligamentous TMB following carpal tunnel release may cause new-onset motor deficiency despite improvements in sensation. This can be treated with neurolysis of the motor branch and decompression of its course through the TCL.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00070","type":"journal-article","created":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T14:01:05Z","timestamp":1751551265000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Postoperative Tethering of a Transligamentous Thenar Motor Branch"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6064-2732","authenticated-orcid":false,"given":"Emily M.","family":"Pflug","sequence":"first","affiliation":[{"name":"Department of Orthopedics, NYU Langone Health, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5889-0558","authenticated-orcid":false,"given":"Alexander","family":"Lauder","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Denver Health Medical Center, Denver, Colorado"},{"name":"Department of Orthopedics, University of Colorado Anschutz Medical Campus, Aurora, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5106-0474","authenticated-orcid":false,"given":"Matthew D.","family":"Folchert","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Denver Health Medical Center, Denver, Colorado"},{"name":"Department of Orthopedics, University of Colorado Anschutz Medical Campus, Aurora, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7]]},"reference":[{"issue":"15","key":"bib1-20250703","doi-asserted-by":"crossref","first-page":"551","DOI":"10.5435\/JAAOS-D-18-00004","article-title":"Management of recalcitrant carpal tunnel syndrome","volume":"27","author":"Lauder","year":"2019","journal-title":"J Am Acad Orthop 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nerve","volume":"24","author":"Wulbrecht","year":"2024","journal-title":"Eplasty."},{"issue":"3","key":"bib9-20250703","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1007\/s11552-012-9413-5","article-title":"Outcomes of open and endoscopic carpal tunnel release: a meta-analysis","volume":"7","author":"Kohanzadeh","year":"2012","journal-title":"Hand (N Y)."},{"issue":"7","key":"bib10-20250703","first-page":"e64991","article-title":"Endoscopic versus open carpal tunnel release: a systematic review of outcomes and complications","volume":"16","author":"Rajapandian","year":"2024","journal-title":"Cureus."},{"issue":"3","key":"bib11-20250703","doi-asserted-by":"crossref","first-page":"1120","DOI":"10.1007\/s11999-014-3835-z","article-title":"Open versus endoscopic carpal tunnel release: a meta-analysis of randomized controlled trials","volume":"473","author":"Sayegh","year":"2015","journal-title":"Clin Orthop Relat 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Am."},{"issue":"1","key":"bib15-20250703","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/J.JHSB.2005.09.022","article-title":"Revision surgery after carpal tunnel release--analysis of the pathology in 200 cases during a 2 year period","volume":"31","author":"St\u00fctz","year":"2006","journal-title":"J Hand Surg Br."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00070","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:23:38Z","timestamp":1787750618000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00070"}},"subtitle":["A Cause of New-Onset Motor Deficit following Carpal Tunnel Release"],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":15,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.25.00070","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]}}}