Acute Carpal Tunnel Syndrome Caused by Anomalous Muscle Bellies: A Case Report

Hand Surgery ◽  
2003 ◽  
Vol 08 (01) ◽  
pp. 141-143 ◽  
Author(s):  
Hiroshi Kono
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Clinical Situation ◽  
Perilunate Dislocation ◽  
Anomalous Muscle ◽  
Operative Exploration ◽  
Tunnel Syndrome ◽  
Flexor Digitorum ◽  
Acute Carpal Tunnel Syndrome

We reported on an acute carpal tunnel syndrome that occurred two hours after the internal fixation of scaphoid. Operative exploration showed median nerve compression caused by flexor digitorum superficialis muscle bellies within the carpal tunnel. Symptoms were relieved immediately after the carpal tunnel release. This case was very rare because acute carpal tunnel syndrome was caused by swollen muscle bellies within the carpal tunnel after the initial operation for the trans-scaphoid perilunate dislocation. This clinical situation should be distinguished from compartment syndrome of forearm.

scholarly journals Anomalous Flexor Digitorum Superficialis Muscle Transposition for Vascular Coverage of the Median Nerve in Recurrent Carpal Tunnel Syndrome

2005 ◽  
Vol 13 (1) ◽  
pp. 27-30
Author(s):  
Michael W Neumeister ◽  
Arian Mowlavi ◽  
Robert C Russell ◽  
Bradon J Wilhelmi
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Excellent Result ◽  
Vascular Supply ◽  
Flexor Digitorum Superficialis ◽  
Palmar Fascia ◽  
Anomalous Muscle ◽  
Tunnel Syndrome ◽  
Flexor Digitorum

Recurrent carpal tunnel syndrome is uncommon yet troublesome. Significant adhesions and scarring around the median nerve can render it relatively ischemic. A number of vascular flaps have been described to provide vascular coverage in attempts to decrease further cicatricial adhesions and to improve local blood supply around the median nerve. A rare case of an anomalous muscle in the distal forearm used as tissue to provide good vascularized coverage of the median nerve that was severely scarred in its bed is reported. The anomalous muscle was distal to the flexor digitorum superficialis tendon and inserted in the palmar fascia on the ulnar aspect of the hand. Referring branches from the ulnar artery provided vascular supply to the anomalous muscle. The muscle on these vascular pedicles was transposed over the median nerve, providing good, stable, unscarred coverage. The patient had an excellent result with resolution of the carpal tunnel symptoms. The redundant anomalous muscle provided a unique vascularized source for coverage of the median nerve in recurrent carpal tunnel syndrome.

Acute Carpal Tunnel Syndrome Produced by Anomalous Flexor Digitorum Superficialis Indicis Muscle

1985 ◽  
Vol 10 (1) ◽  
pp. 83-84 ◽  
Author(s):  
K. AMETEWEE ◽  
A. HARRIS ◽  
M. SAMUEL
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Nerve Compression ◽  
Flexor Digitorum Superficialis ◽  
Tunnel Syndrome ◽  
Early Exploration ◽  
Female Nurse ◽  
Flexor Digitorum ◽  
Acute Carpal Tunnel Syndrome

A 23 year old female nurse developed acute sensory symptoms of median nerve compression. Early exploration revealed abnormal flexor superficialis indicis muscle as the compressing structure. Symptoms were relieved by freeing the muscle from the nerve.

Stabilization of an Acute Perilunate Dislocation Using the “Tag” Suture Anchor

1998 ◽  
Vol 23 (2) ◽  
pp. 262-263
Author(s):  
K. J. REDDY ◽  
G. J. PACKER
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Suture Anchor ◽  
Scapholunate Dissociation ◽  
Perilunate Dislocation ◽  
Tunnel Syndrome ◽  
Acute Carpal Tunnel Syndrome

A case of acute perilunate dislocation associated with acute scapholunate dissociation and acute carpal tunnel syndrome is described in which the treatment was facilitated by the use of the TAG suture anchor.

Carpal Tunnel Syndrome and Flexor Tendon Rupture in the Wrist with Asymptomatic Scapholunate Advanced Collapse: A Case Report

2018 ◽  
Vol 23 (04) ◽  
pp. 589-592
Author(s):  
Satoshi Kamihata ◽  
Takashi Oda ◽  
Takuro Wada
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Flexor Tendon ◽  
Carpal Tunnel Release ◽  
Flexor Digitorum Profundus ◽  
Flexor Tendon Rupture ◽  
Tunnel Syndrome ◽  
Palmaris Longus Tendon ◽  
Flexor Digitorum ◽  
Flexor Digitorum Profundus Tendon

We experienced a rare case of carpal tunnel syndrome and rupture of the flexor digitorum profundus tendon to the index finger with a scapholunate advanced collapse wrist. We speculated that the lunate that had extruded into the carpal tunnel compressed the median nerve and caused wear of the flexor tendon following neglected perilunate subluxation. Carpal tunnel release, opponensplasty by palmaris longus tendon transfer, and a bridge graft by a half-slip of the flexor carpi radialis tendon resulted in recovery of pinch function and improvement in numbness of the hand.

An Anomalous Flexor Digitorum Superficialis Indicis Muscle Presenting as Carpal Tunnel Syndrome

HAND ◽  
1981 ◽  
Vol os-13 (1) ◽  
pp. 85-86 ◽  
Author(s):  
P. Hutton ◽  
J. Kernohan ◽  
R. Birch
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Flexor Digitorum Superficialis ◽  
Transverse Carpal Ligament ◽  
Anomalous Muscle ◽  
Tunnel Syndrome ◽  
Flexor Digitorum

The description is given of an anomalous muscle arising from the flexor digitorum superficialis indicis tendon distal to the transverse carpal ligament which presented as carpal tunnel syndrome.

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