The recurrent branch of the median nerve is often referred to as the "million dollar nerve."
This nickname stems from the potentially significant financial consequences (including lawsuits) that can arise from injury to this nerve, especially during carpal tunnel release surgery. Damage to the recurrent branch of the median nerve can lead to impaired thumb function, significantly impacting a person's ability to perform daily tasks and work-related activities.
Why is it called the "Million Dollar Nerve"?
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High-Risk Surgery: The recurrent branch of the median nerve is particularly vulnerable during carpal tunnel surgery, a procedure aimed at relieving pressure on the median nerve in the wrist.
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Functional Impact: Injury to this nerve can cause weakness or paralysis of the thenar muscles, which control thumb movements like opposition (bringing the thumb across the palm to touch other fingers).
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Legal Ramifications: The resulting loss of thumb function can lead to substantial disability, potentially affecting a person's livelihood and quality of life, thereby creating grounds for substantial financial compensation through lawsuits.
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Loss of Thumb Function: Specifically, damage to the million dollar nerve can result in the inability to properly flex or oppose the thumb, which has a major impact on hand function.
Therefore, extreme care is taken during carpal tunnel surgery to identify, protect, and preserve the integrity of the recurrent branch of the median nerve to prevent potentially devastating functional and financial outcomes.
