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 Indian J Med Microbiol  
 

Figure 7 (A-C): Neuroma-in-continuity (Sunderland grade IV/severe stretch injury with fascicular disruption). A 65 year old woman with suspected carpal tunnel syndrome and remote history of injury presented with pain and weakness in the median nerve distribution. MIP reconstruction from sagittal 3D DW-PSIF (three-dimensional diffusion-weighted reversed fast imaging with steady state free precession) (A) shows fusiform enlargement (small arrows) of the median nerve (large arrows). Axial T2 SPAIR image (B) demonstrates the enlarged heterogeneous median nerve in keeping with multifocal fascicular disruption and internal fibrosis (arrow). Intraoperative image (C) confirmed Sunderland grade IV injury with a neuroma-in-continuity (arrow). The patient underwent transverse carpal ligament release and limited intra-as well as peri-neural neurolysis. There was limited improvement on physical examination on 6 month follow-up. (Image C-courtesy Dr. Damon Cooney, MD)

Figure 7 (A-C): Neuroma-in-continuity (Sunderland grade IV/severe stretch injury with fascicular disruption). A 65 year old woman with suspected carpal tunnel syndrome and remote history of injury presented with pain and weakness in the median nerve distribution. MIP reconstruction from sagittal 3D DW-PSIF (three-dimensional diffusion-weighted reversed fast imaging with steady state free precession) (A) shows fusiform enlargement (small arrows) of the median nerve (large arrows). Axial T2 SPAIR image (B) demonstrates the enlarged heterogeneous median nerve in keeping with multifocal fascicular disruption and internal fibrosis (arrow). Intraoperative image (C) confirmed Sunderland grade IV injury with a neuroma-in-continuity (arrow). The patient underwent transverse carpal ligament release and limited intra-as well as peri-neural neurolysis. There was limited improvement on physical examination on 6 month follow-up. (Image C-courtesy Dr. Damon Cooney, MD)