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My comment is regarding the front page, rather than the editorial
itself. I realise that this illustration may not have been chosen by the
The whole hand is not shown, but the incision appears to be much more
radial than that practised and recommended by the majority of hand
surgeons, ie. in line with the radial border of the 4th metacarpal. This
incision appears to curve around the edge of the thenar eminence.
I have come across this incision several times over the last few years -
in revision surgery for median nerve or motor branch injury and incomplete
decompression, usually performed in ISTCs.
Perhaps this incision is therefore also related to the thenar atrophy