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a, An incision is made starting along the distal forearm over the median nerve and includes the prior incision. b, Following neurolysis of the median nerve, the ADM is identified, c, ADM is elevated while maintaining its proximal pedicle, d, ADM is transposed over the median nerve and sutured to the radial aspect of the transverse carpal ligament, and e, final position of the ADM providing soft tissue coverage over the median nerve.
Note. ADM = abductor digiti minimi.
