A Mycobacterium Malmoense Infection of the Hand Presenting as Carpal Tunnel Syndrome

1988 ◽  
Vol 13 (3) ◽  
pp. 328-330
Author(s):  
HEATHER PRINCE ◽  
PURVIN ISPAHANI ◽  
M. BAKER
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Lymph Nodes ◽  
Carpal Tunnel ◽  
Tuberculous Infection ◽  
Cervical Lymph Nodes ◽  
Flexor Tendons ◽  
Tunnel Syndrome ◽  
A Site ◽  
First Time ◽  
Mycobacterium Malmoense

We report an atypical tuberculous infection by Mycobacterium Malmoense of the synovium of the flexor tendons at the wrist presenting as carpal tunnel syndrome. This is the first time this organism has been described in a site other than the lungs or the cervical lymph nodes.

Mycobacterial Tenosynovitis of the Flexor Tendons of the Hand

1996 ◽  
Vol 21 (3) ◽  
pp. 351-354 ◽  
Author(s):  
P-J. Regnard ◽  
P. Barry ◽  
J. Isselin
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Corticosteroid Therapy ◽  
Carpal Tunnel ◽  
Functional Result ◽  
Flexor Tendons ◽  
Long Term Follow Up ◽  
Tunnel Syndrome

We present five cases of mycobacterial tenosynovitis of the flexor tendons of the fingers. These cases were observed during the last 12 years and treated by the same surgeon. This pathology is uncommon now, but it is becoming more frequent, especially in patients with diminished immunity. The diagnosis was most commonly made after synovectomy in patients presenting with carpal tunnel syndrome associated with slightly painful swelling at the wrist. Histological and bacteriological examinations are very important and revealed tuberculosis in four of our patients and mycobacterium in one, and the treatment consists of synovectomy and appropriate antibiotics. The functional result is usually good, but recurrence is not uncommon. Long-term follow-up is necessary. Local corticosteroid therapy could have a part in the causation of this condition.

Pregnancy-Related Carpal Tunnel Syndrome

1998 ◽  
Vol 23 (1) ◽  
pp. 98-101 ◽  
Author(s):  
P. SEROR
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
De Novo ◽  
Post Partum ◽  
Nerve Lesion ◽  
Second Trimester ◽  
Third Trimester ◽  
Duration Of Symptoms ◽  
Tunnel Syndrome ◽  
First Time

Clinical and electrophysiological features were studied in 52 cases of carpal tunnel syndrome (CTS) associated with 30 pregnancies. The duration of symptoms was less than 3 months before electrodiagnosis was performed. This study revealed a higher incidence of persistent, painful diurnal symptoms in pregnancy-related CTS (PRCTS) than in idiopathic CTS. PRCTS usually occurs for the first time (de novo) (24/30 cases), in primigravidas (15 cases) as well as multigravidas. The onset of symptoms was in the first or second trimester in 11 women, the third trimester in 12 women, or the post-partum period in seven women. Nerve conduction studies demonstrated evidence of an acute median nerve lesion at the wrist with motor and/or sensory conduction blocks in 20/30 women and severe denervation signs in five women.

scholarly journals Carpal Tunnel Syndrome with Wrist Trigger Caused by Hypertrophied Lumbrical Muscle and Tenosynovitis

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Ayuko Shimizu ◽  
Masayoshi Ikeda ◽  
Yuka Kobayashi ◽  
Ikuo Saito ◽  
Joji Mochida
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Synovial Proliferation ◽  
Flexor Tendons ◽  
Active Flexion ◽  
Tunnel Syndrome ◽  
Lumbrical Muscle ◽  
Open Carpal Tunnel Release

We present a case of carpal tunnel syndrome involving wrist trigger caused by a hypertrophied lumbrical muscle with flexor synovitis. The case was a 40-year-old male heavy manual worker complaining of numbness and pain in the median nerve area. On active flexion of the fingers, snapping was observed at the carpal area, and forceful full grip was impossible. Tinel’s sign was positive and an electromyographic study revealed conduction disturbance of the median nerve at the carpal tunnel. Magnetic resonance imaging revealed edematous lumbrical muscle with synovial proliferation around the flexor tendons. Open carpal tunnel release was performed under local anesthesia. Synovial proliferation of the flexor tendons was found and when flexing the index and middle fingers, the lumbrical muscle was drawn into the carpal tunnel with a triggering phenomenon. After releasing the carpal tunnel, the triggering phenomenon and painful numbness improved.

Carpal tunnel syndrome caused by gouty tophus of the flexor tendons of the fingers: Sonographic features

2011 ◽  
Vol 39 (8) ◽  
pp. 463-465 ◽  
Author(s):  
Aravindakannan Therimadasamy ◽  
Yeong Pin Peng ◽  
Thomas Choudary Putti ◽  
Einar Patrick Vincent Wilder-Smith
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Flexor Tendons ◽  
Tunnel Syndrome ◽  
Gouty Tophus

scholarly journals Results of Tenosynovectomy of Flexor Tendons for Carpal Tunnel Syndrome.

1999 ◽  
Vol 48 (4) ◽  
pp. 994-996
Author(s):  
Toshiyuki Tsuruta ◽  
Akihiko Asami ◽  
Motoki Sonohata
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Flexor Tendons ◽  
Tunnel Syndrome

Thickening of the Synovium of the Digital Flexor Tendons: Cause or Consequence of the Carpal Tunnel Syndrome?

1992 ◽  
Vol 17 (2) ◽  
pp. 209-211 ◽  
Author(s):  
A. L. LLUCH
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Endothelial Damage ◽  
En Bloc ◽  
Flexor Tendons ◽  
Wire Suture ◽  
Round Cell Infiltration ◽  
Vascular Proliferation ◽  
Tunnel Syndrome ◽  
Fibroblastic Activity

Using a monofilament wire suture, the radial and ulnar edges of the flexor retinaculum were approximated in 14 white New Zealand rabbits. As a result, the volume of the carpal tunnel was diminished, and “carpal tunnel syndrome” was produced. At various intervals after this procedure the animals were sacrificed. The median nerve and all the digital flexor tendons passing through the carpal tunnel were excised “en bloc”, and sent for histological examination. Vascular proliferation with perivascular round cell infiltration and oedema, and large areas of fibroblastic activity were observed around the digital flexor tendons. This was probably due to increased vascular permeability secondary to ischaemic endothelial damage. These findings are similar to those observed in the synovium of patients operated on for carpal tunnel syndrome.

Carpal Tunnel Syndrome Due to Gouty Infiltration of the Lumbrical Muscles and Flexor Tendons

Hand Surgery ◽  
2003 ◽  
Vol 08 (01) ◽  
pp. 121-125 ◽  
Author(s):  
G. Tan ◽  
W. Chew ◽  
C. H. Lai
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Symptomatic Relief ◽  
Surgical Decompression ◽  
Muscle Involvement ◽  
Flexor Tendons ◽  
Tunnel Syndrome ◽  
Lumbrical Muscle ◽  
Lumbrical Muscles

A case of gout first presenting as carpal tunnel syndrome due to intratendinous and lumbrical muscle involvement with tophi is reported. Surgical decompression with excision of tophi and diseased muscle produced symptomatic relief.

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