Carpal tunnel syndrome and the Riche-Cannieu anastomosis: Electrophysiologic findings

M. Refaeian, J. C. King, Daniel Dumitru, A. C. Cuetter

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


Two cases of carpal tunnel syndrome with Riche-Cannieu anomalies are reported. Despite complete absence of a median nerve evoked compound muscle action potential from the thenar eminence, these patients had significant preservation of function and minimal muscle atrophy. Activation of the ulnar nerve at both the wrist and elbow generated easily obtainable compound muscle action potentials from the thenar eminence with initial negative onset. This observed preservation of function and electrophysiologic responses are best explained by the presence of a Riche-Cannieu anastomosis innervating the thenar eminence through branches from ulnar nerve. To our knowledge there has not been a report of similar cases in patients with profound carpal tunnel syndrome and a Riche-Cannieu anomaly. We review the clinical findings, the electrodiagnostic data, and the impact of a Riche-Cannieu anastomosis on advanced carpal tunnel syndrome.

Original languageEnglish (US)
Pages (from-to)377-382
Number of pages6
JournalElectromyography and Clinical Neurophysiology
Issue number6
StatePublished - Oct 22 2001


  • Anomalous innervation
  • Carpal tunnel syndrome
  • Nerve injury
  • Riche-Cannieu anastomosis
  • Ulnar nerve

ASJC Scopus subject areas

  • Physiology
  • Clinical Neurology
  • Physiology (medical)


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