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.

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.

Flexor Digitorum Tendon Transection As A Complication of Endoscopic Carpal Tunnel Release

1997 ◽  
Vol 22 (4) ◽  
pp. 508-509
Author(s):  
N. A. S. POSCH ◽  
K. E. BOS
Keyword(s):  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Middle Finger ◽  
Cadaver Study ◽  
Flexor Digitorum Profundus ◽  
Endoscopic Carpal Tunnel Release ◽  
Flexor Digitorum ◽  
Flexor Digitorum Profundus Tendon

A complete laceration of the flexor digitorum profundus tendon of the middle finger following endoscopic carpal tunnel release is reported. In a cadaver study the mechanism that could have led to this complication was investigated.

TRIGGER DIGITS-ASSOCIATED CARPAL TUNNEL SYNDROME: RELATIONSHIP BETWEEN CARPAL TUNNEL RELEASE AND TRIGGER DIGITS

Hand Surgery ◽  
2005 ◽  
Vol 10 (02n03) ◽  
pp. 205-208 ◽  
Author(s):  
K. Harada ◽  
H. Nakashima ◽  
K. Teramoto ◽  
T. Nagai ◽  
S. Hoshino ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Flexor Tendon ◽  
Carpal Tunnel Release ◽  
Tendon Sheath ◽  
Flexor Tendon Sheath ◽  
Idiopathic Carpal Tunnel Syndrome ◽  
Tunnel Syndrome ◽  
The Difference ◽  
Performance Rate

Of 875 idiopathic carpal tunnel syndrome (CTS) cases, 101 (11.5%) required trigger digit release operations within three years before and/or after carpal tunnel release (CTR); these 101 cases were investigated, retrospectively. Trigger digit release (TDR) was performed most often after the CTR, especially within three months. Next most common was at the same time as the CTR. The TDR performance rate after CTR was 5.9%. The nerve conduction study (NCS) comparison between trigger digits-associated CTS and isolated CTS showed that pre-operative distal motor latency was significantly more delayed in trigger digits-associated CTS, while there was no evidence of any difference due to age or gender. The difference of operative method (open or endoscopic procedure) did not influence the incidence rate of trigger digits after the CTR. This study suggested that trigger digits-associated CTS has a previously developed wide-ranging narrowing of the flexor tendon sheath.

scholarly journals Treatment and Rehabilitation for Ruptured Flexor Digitorum Profundus Tendon after Steroid Injection in Trigger Finger and Carpal Tunnel Syndrome

2020 ◽  
Vol 16 (3) ◽  
pp. 198-201
Author(s):  
Jinha Park ◽  
Si Young Roh
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Range Of Motion ◽  
Carpal Tunnel ◽  
Steroid Injection ◽  
Corticosteroid Injection ◽  
Trigger Finger ◽  
Flexor Digitorum Profundus ◽  
Tunnel Syndrome ◽  
Flexor Digitorum ◽  
Little Finger

The authors report cases of treatment and rehabilitation for flexor digitorum profundus (FDP) tendon rupture of the little finger in patients with history of steroid injection. In case 1, a 43-year-old man had been given two local corticosteroid injections on the palm over 8 weeks due to trigger finger of his left little finger. While doing chin-ups 1 week after the last injection, he experienced a painful snapping in his left little finger and lost flexion of the distal interphalangeal (DIP) joint. In case 2, a 49-year-old man had been diagnosed with ipsilateral carpal tunnel syndrome and was given local corticosteroid injection on the wrist. Two months after the injection the patient experienced sudden loss of flexion on the DIP joint of his left little finger while playing golf. During operation, an intratendinous rupture of the FDP tendon of the little finger was present and direct tendon repair was done in both patients. Continuous splint remolding was performed according to the range of motion. The range of motion was checked continuously at the ward and outpatient clinic every week. The final results of treatment were checked 6 months after surgery by the criteria developed by Strickland and Glogovac in 1980.

Palmaris profundus in the carpal tunnel

2021 ◽  
Vol 14 (8) ◽  
pp. e241328
Author(s):  
Theodore Paul Pezas ◽  
Rajive Jose
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Anatomical Variant ◽  
Longus Tendon ◽  
Raising Awareness ◽  
Tunnel Syndrome ◽  
Palmaris Longus Tendon ◽  
Secondary Causes

Carpal tunnel release is a routinely performed operation to relieve pressure caused by compression on the median nerve. In the majority of cases, the causation of the compression will be idiopathic. Among the secondary causes of median nerve compression is the palmaris profundus, a rare anatomical variant separate to the palmaris longus tendon. It has been suggested that it may cause carpal tunnel syndrome as it courses underneath the flexor retinaculum with the contents of the carpal tunnel reducing the space available to the median nerve. Several cases have found it intimately associated with the median nerve within the carpal tunnel. Raising awareness of this anatomical variant is therefore important for those undertaking carpal tunnel decompression in order to avoid unintended damage.

scholarly journals The Palmaris Longus and Its Association with Carpal Tunnel Syndrome

2020 ◽  
Vol 9 (06) ◽  
pp. 493-497
Author(s):  
Andrew D. Boltuch ◽  
Michael A. Marcotte ◽  
Christopher M. Treat ◽  
Anthony L. Marcotte
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Positive Predictive Value ◽  
Negative Predictive Value ◽  
Carpal Tunnel ◽  
Predictive Value ◽  
Carpal Tunnel Release ◽  
Longus Tendon ◽  
Palmaris Longus ◽  
Tunnel Syndrome ◽  
Palmaris Longus Tendon

Abstract Background The palmaris tendon inserts into the palmar fascia and is positioned in close association with the transverse carpal ligament. Loading of this tendon has been demonstrated to increase carpal tunnel pressures. Purpose The purpose of this study was to determine if a relationship exists between the palmaris tendon, carpal tunnel syndrome (CTS), and handedness. The sensitivity, specificity, positive predictive value, and negative predictive value for Schaeffer's test were calculated. Methods A retrospective review of patient charts undergoing endoscopic carpal tunnel release was performed. Rates of palmaris longus agenesis (PLA) were compared to a population matched data set. Statistical analysis was performed using a one-proportion z-test. Schaeffer's test for the palmaris longus tendon was performed on all patients and compared to intraoperative confirmation. Results A total of 520 carpal tunnel releases were performed in 389 consecutive patients. The frequency of PLA in this surgical cohort was significantly lower compared to the population matched dataset. No correlation between handedness and laterality of CTS or PLA was found. Schaeffer's test was evaluated to yield sensitivity (93.6%), specificity (100%), positive predictive value (100%), and negative predictive value (50.8%). Conclusion The palmaris tendon was more prevalent in a population of patients undergoing carpal tunnel release. These findings can be used to provide further insight into the pathophysiology of CTS. While Schaeffer's test was accurate in detecting the palmaris longus tendon, a negative test was frequently incorrect. Further imaging is recommended in patients with a negative Schaeffer's test when the palmaris longus is desired for surgical utilization. Level of Evidence This is a Level III, prognostic study.

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