Anatomical variants · USMLE Step 1

A patient is found to have a bifid (split) median nerve at the wrist. This variant is most clinically associated with which condition?

  1. Carpal tunnel syndrome
  2. De Quervain tenosynovitis
  3. Cubital tunnel syndrome
  4. Trigger finger
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Correct answer: Carpal tunnel syndrome

A bifid median nerve is a variant that increases risk of carpal tunnel symptoms, particularly when accompanied by a persistent median artery. Awareness prevents surgical injury.

Difficulty: Medium Question 20 of 20

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