AN UNCOMMON CAUSE FOR A COMMON COMPLAINT

Infective tenosynovitis is an uncommon cause of a common condition namely carpal tunnel syndrome. Following an extensive review of the literature, we report what we understand to be the first published case of Mycobacterium kansasii (M. kansasii) causing tenosynovitis of flexor tendons resulting in carpal tunnel syndrome in Australia. Our case highlights the need for a high level of suspension, histology and appropriate culture with specific microbiological tests for atypical mycobacteria where tenosynovitis is present at carpal tunnel surgery, even in patients who do not appear to have risk factors.

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Getting Patients Back to Work after Carpal Tunnel Surgery

Journal of Perioperative Practice ◽

10.1177/175045890801800202 ◽

2008 ◽

Vol 18 (2) ◽

pp. 60-63 ◽

Cited By ~ 1

Author(s):

Martyn Newey ◽

Malcolm Clarke

Keyword(s):

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Patient Needs ◽

Carpal Tunnel Surgery ◽

Tunnel Syndrome ◽

Back To Work

This article describes the condition known as carpal tunnel syndrome and reviews a carpal tunnel service that was started in Leicester in 1999. We look at how the service has developed to meet patient needs, and how we now aim to return patients back to function and employment as quickly as possible after surgery.

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The Relationship of the Double Crush to Carpal Tunnel Syndrome (An Analysis of 1,000 Cases of Carpal Tunnel Syndrome)

Journal of Hand Surgery (European Volume) ◽

10.1016/0266-7681_85_90018-x ◽

1985 ◽

Vol 10 (2) ◽

pp. 202-204

Author(s):

LAWRENCE C. HURST ◽

DAVID WEISSBERG ◽

ROBERT E. CARROLL

Keyword(s):

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Carpal Tunnel Surgery ◽

Significant Incidence ◽

Tunnel Syndrome ◽

Relationship Of ◽

The Relationship ◽

Double Crush ◽

Double Crush Syndrome ◽

Bilateral Carpal Tunnel Syndrome

In this series of 1,000 cases of carpal tunnel syndrome (888 patients) there is a statistically significant incidence of bilaterality in patients with cervical arthritis. There is also a statistically significant increase in the incidence of diabetes mellitus over the general population. These findings lend further support to Upton’s Double Crush hypothesis. Further, the double crush syndrome predisposes to bilateral carpal tunnel syndrome and may be an important prognostic factor. It may also be an explanation for some of the failures following carpal tunnel surgery and lead surgeons to look for other associated systemic diseases or mechanical blocks, when attempting to alleviate recalcitrant symptoms.

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Carpal Tunnel Syndrome Versus Vascular Access Induced Hand Ischaemia

Acta Medica Transilvanica ◽

10.2478/amtsb-2020-0065 ◽

2020 ◽

Vol 25 (4) ◽

pp. 28-30

Author(s):

Alina Helgiu

Keyword(s):

Carpal Tunnel Syndrome ◽

Arteriovenous Fistula ◽

Median Nerve ◽

Vascular Access ◽

Carpal Tunnel ◽

Hemodialysis Patient ◽

Common Complaint ◽

Tunnel Syndrome ◽

Distal Flow

Abstract Hand pain is a common complaint in the hemodialysis patient on arteriovenous fistula. The problem is related to its etiology: nervous or vascular, which requires different therapeutic solutions. Ischaemic etiology involves a deviation of the distal flow in the anastomosed vein, with the decrease of the distal flow and the installation of distal ischaemia. Nerve etiology involves compression of the median nerve in the carpal tunnel. The purpose of the paper is to present a case study of diagnosis and treatment of median nerve compression in hemodialysis patient.

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Mycobacterium Kansasii Flexor Tenosynovitis Presenting as Carpal Tunnel Syndrome

Journal of Hand Surgery (European Volume) ◽

10.1054/jhsb.2000.0387 ◽

2000 ◽

Vol 25 (3) ◽

pp. 308-310 ◽

Cited By ~ 16

Author(s):

A. WADA ◽

S. NOMURA ◽

F. IHARA

Keyword(s):

Carpal Tunnel Syndrome ◽

Synovial Tissue ◽

Carpal Tunnel ◽

Mycobacterium Kansasii ◽

Tunnel Syndrome ◽

Tissue Specimens ◽

Time Of Operation ◽

Flexor Tenosynovitis

We present a case in which Mycobacterium kansasii flexor tenosynovitis caused the development of carpal tunnel syndrome. The diagnosis was made from synovial tissue specimens taken at the time of operation.

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Ulnar Nerve Laceration — a Complication of Carpal Tunnel Decompression: Case Report and Review of the Literature

Journal of Hand Surgery (European Volume) ◽

10.1016/0266-7681_87_90023-4 ◽

1987 ◽

Vol 12 (2) ◽

pp. 239-241

Author(s):

K. J. FAVERO ◽

P. T. GROPPER

Keyword(s):

Case Report ◽

Nerve Injury ◽

Ulnar Nerve ◽

Carpal Tunnel ◽

Peripheral Nerve Injury ◽

Review Of The Literature ◽

Carpal Tunnel Surgery ◽

Tunnel Syndrome ◽

Ulnar Nerve Injury

Complications of peripheral nerve injury arising from the surgical treatment of carpal tunnel syndrome are not uncommon. No documented report of the association of ulnar nerve injury with carpal tunnel decompression has been found. This case-study describes partial laceration of the ulnar nerve as a complication of carpal tunnel surgery and reviews the literature on this subject.

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A Systematic Review of the Literature on the Outcomes of Treatment for Recurrent and Persistent Carpal Tunnel Syndrome

Plastic & Reconstructive Surgery ◽

10.1097/prs.0b013e318290faba ◽

2013 ◽

Vol 132 (1) ◽

pp. 114-121 ◽

Cited By ~ 28

Author(s):

Ali M. Soltani ◽

Bassan J. Allan ◽

Matthew J. Best ◽

Haaris S. Mir ◽

Zubin J. Panthaki

Keyword(s):

Systematic Review ◽

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Review Of The Literature ◽

Tunnel Syndrome

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Carpal Tunnel Syndrome Secondary to an Accessory Flexor Digitorum Superficialis Muscle Belly: Case Report and Review of the Literature

Hand ◽

10.1007/s11552-014-9622-1 ◽

2014 ◽

Vol 9 (4) ◽

pp. 554-555 ◽

Cited By ~ 8

Author(s):

Saqib Javed ◽

Michael Woodruff

Keyword(s):

Case Report ◽

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Flexor Digitorum Superficialis ◽

Review Of The Literature ◽

Muscle Belly ◽

Tunnel Syndrome ◽

Flexor Digitorum

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PEDICLED HYPOTHENAR FAT FLAP FOR MEDIAN NERVE COVERAGE IN RECALCITRANT CARPAL TUNNEL SYNDROME

Hand Surgery ◽

10.1142/s0218810400000120 ◽

2000 ◽

Vol 05 (01) ◽

pp. 33-40 ◽

Cited By ~ 49

Author(s):

Ch. Mathoulin ◽

J. Bahm ◽

S. Roukoz

Keyword(s):

Carpal Tunnel Syndrome ◽

Median Nerve ◽

Carpal Tunnel ◽

Anatomical Study ◽

Ulnar Artery ◽

Transverse Carpal Ligament ◽

Carpal Tunnel Surgery ◽

Tunnel Syndrome ◽

Normal Nerve Conduction

We report the use of a hypothenar pedicled fat flap to cover the median nerve in recalcitrant carpal tunnel syndrome. Forty-five patients with recurrent symptoms after previous carpal tunnel surgery were included in this study. Patients with incomplete release of the transverse carpal ligament were not included. We performed an anatomical study on 30 cadavers. The original technique with the section of the deep branch of ulnar artery was modified. The flap could be transferred onto the median nerve without stretching. The median follow-up was 45 months (range, 12–80 months). Pain completely disappeared in 41 patients with normal nerve conduction. Based on clinical and electromyographic signs, the global results showed excellent results (49%), 19 good results (45%), two average results (4.5%) and two failures (2%). The use of a hypothenar pedicled fat flap to cover the median nerve in recalcitrant carpal tunnel syndrome is a simple and efficient technique which improves the trophic environment of the median nerve and relieves pain.

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