Outcome of carpal tunnel release surgery in patients with and without Linburg-Comstock anomaly.

Anatomical variations may entail increased volume within the carpal tunnel and consequently the development of carpal tunnel syndrome (CTS) symptoms. The clinical importance of anomalous connection between the flexor pollicis longus (FPL) and flexor digitorum profundus (FDP) tendons was described by Linburg and Comstock. The objective of the present study was to compare postoperative outcomes of carpal tunnel release surgery in patients with and without Linburg-Comstock anomaly (LCA). Hands of CTS patients with and without LCA were evaluated for finger sensitivity, grip, tip, key and tripod pinch strength, pain intensity and Boston Carpal Tunnel Questionnaire score. Patients were evaluated preoperatively and 1, 3 and 6 months after surgery. Forty-six hands in 36 CTS patients with LCA and 50 hands in 38 patients without LCA were included. On all study parameters, no significant difference was found between CTS patients with versus without LCA. As outcomes are similar in both cases, LCA resection is not useful in patients with LCA and CTS. Preoperative diagnosis is unnecessary and screening for LCA is non-contributive for CTS evaluation.

Stimulus segmentation in the visual search task.

Four experiments were conducted in order to study the segmentation process in a visual search task with relevant stimuli (target and distractors) randomly distributed among textural elements. The basic idea was that a parallel segmentation process of the relevant stimuli would contribute to the overall reaction time independently of the contribution of the number of relevant stimuli. In the first experiment, with relevant stimuli and textural elements that differed in the orientation of their component lines, texture presence interacted with number of relevant stimuli and with target presence. These results were not favorable to the parallel segmentation hypothesis. In the second and third experiments, in which the relevant and the textural stimuli differed in orientation and in the luminance contrast of their component lines, the results support a parallel segmentation process for the higher contrast conditions. In these experiments, the effect of texture presence was greater on target-absent than on target-present trials. Experiment 4 shows that the search can be restricted to the high-contrast relevant stimuli when the number of these stimuli is constant and the number of textural stimuli changes from trial to trial. The present results suggest that the relevant stimuli can be segmented in parallel and then submitted to a restricted analysis, even when they are scattered among textural stimuli.