Atypical mycobacterial flexor tenosynovitis presenting as carpal tunnel syndrome: Presentation of three cases and review

2002 ◽  
Vol 10 (4) ◽  
pp. 167-170
Author(s):  
Jp Brutus ◽  
A Nikolis ◽  
Y Baeten ◽  
N Chahidi ◽  
L Kinnen ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Atypical Mycobacteria ◽  
Surgical Biopsy ◽  
Course Of Disease ◽  
History Of ◽  
Tunnel Syndrome ◽  
Flexor Tenosynovitis ◽  
Suspicion Index

Three patients with carpal tunnel syndrome secondary to atypical mycobacteria flexor tenosynovitis are presented. Aggressive surgical debridement combined with long term antitubercular pharmacotherapy resulted in a good outcome, but the lag time to diagnosis and course of disease were long. Diagnosis of these infections requires a high suspicion index, adequate surgical biopsy and appropriate cultures. Atypical mycobacteria infections must be considered in the differential diagnosis in any patient with evolving chronic tenosynovitis, even if the patient has no history of immunosuppression, and especially if environmental risk factors are present.

A 6-year outcome of patients who cancelled carpal tunnel surgery

2011 ◽  
Vol 36 (8) ◽  
pp. 642-647 ◽  
Author(s):  
R. A. Pensy ◽  
F. D. Burke ◽  
M. J. Bradley ◽  
N. H. Dubin ◽  
E. F. S. Wilgis
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Surgical Patients ◽  
Preoperative Symptom ◽  
Carpal Tunnel Surgery ◽  
Symptom Scores ◽  
History Of ◽  
Tunnel Syndrome ◽  
And Function

The long-term outcomes of patients with carpal tunnel syndrome who were scheduled for release but did not proceed to surgery were compared to patients who underwent surgery, matched on preoperative symptom scores. Both groups completed the Levine–Katz questionnaire 6 years after enrolment to our multicentre carpal tunnel syndrome outcomes database. Symptom and function scores improved for the surgical ( n = 24) and non-surgical ( n = 36) groups ( p < 0.001). Improvement in symptom scores was greater in surgical patients compared to non-surgical patients ( n = 24 matched pairs; p = 0.007) but improvement in function scores between groups was not significantly different ( p = 0.13). For surgical patients, function and symptom scores improved by 6 months and were unchanged at 6 years. Patients planning surgical release can expect symptomatic and functional benefits within 6 months. Overall improvement was experienced by both groups, with a superior outcome achieved with surgery. The symptoms of carpal tunnel syndrome may improve without surgery, but further studies are needed to understand the natural history of the disorder.

Long-term outcome of carpal tunnel syndrome after conservative treatment

2004 ◽  
Vol 58 (4) ◽  
pp. 337-339 ◽  
Author(s):  
A.C.F. Hui ◽  
S.M. Wong ◽  
A. Tang ◽  
V. Mok ◽  
L.K. Hung ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Conservative Treatment ◽  
Carpal Tunnel ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Tunnel Syndrome

scholarly journals Carpal tunnel syndrome: long-term nerve conduction studies in 261 hands

2009 ◽  
Vol 67 (1) ◽  
pp. 69-73 ◽  
Author(s):  
Dante Guilherme Velasco Hardoim ◽  
Guilherme Bueno de Oliveira ◽  
João Aris Kouyoumdjian
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Nerve Conduction ◽  
Sensory Nerve ◽  
Nerve Conduction Studies ◽  
Sensory Nerve Action ◽  
Tunnel Syndrome ◽  
The Mean ◽  
Compound Action

OBJECTIVE: To compare a long-term carpal tunnel syndrome (CTS) on nerve conduction studies (NCS) in hands treated non-surgically. METHOD: We retrospectively selected 261 symptomatic CTS hands (166 patients), all of them confirmed by NCS. In all cases, at least 2 NCS were performed in an interval greater than 12 months. Cases with associated polyneuropathy were excluded. NCS parameters for CTS electrodiagnosis included a sensory conduction velocity (SCV) <46.6 m/s (wrist to index finger, 14 cm) and distal motor latency (DML) >4.25 ms (wrist to APB, 8 cm). RESULTS: 92.8% were women; mean age was 49 years (20-76); the mean interval between NCS was 47 months (12-150). In the first exam, the median sensory nerve action potential (SNAP) and the compound action muscular potential were absent in 9.8% and 1.9%, respectively. In the second/last exam, SCV worsened in 54.2%, remained unchanged in 11.6% and improved in 34.2%. SNAP amplitude worsened in 57.7%, remained unchanged in 13.1% and improved in 29.2%. DML worsened in 52.9%, remained unchanged in 7.6% and improved in 39.5%. Overall, NCS parameters worsened in 54.9%, improved in 34.3% and remained unchanged in 10.8%. CONCLUSION: Long-term changing in NCS of CTS hands apparently were not related to clinical symptomatology and could lead to some difficulty in clinical correlation and prognosis. Aging, male gender and absent SNAP were more related to NCS worsening, regardless the mean interval time between the NCS.

Von Willebrand’s Disease presenting as Acute Carpal Tunnel Syndrome

1998 ◽  
Vol 23 (1) ◽  
pp. 114-114 ◽  
Author(s):  
D. G. PARTHENIS ◽  
C. B. KARAGKEVREKIS ◽  
M. A. WALDRAM
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Spontaneous Bleeding ◽  
Von Willebrand's Disease ◽  
Von Willebrand’S Disease ◽  
History Of ◽  
Tunnel Syndrome ◽  
Acute Carpal Tunnel Syndrome

We describe a patient who developed acute carpal tunnel syndrome due to spontaneous bleeding without a history of injury. Immediate decompression relieved the symptoms. Further haematological investigations revealed that the patient was suffering from von Willebrand’s disease.

scholarly journals Early operations have good effect on carpal tunnel syndrome in patients on long-term hemodialysis.

1990 ◽  
Vol 39 (2) ◽  
pp. 777-781
Author(s):  
Yoshiki Yoshihara ◽  
Kohtarou Imamura ◽  
Yoshifumi Nagatani ◽  
Eiji Hirano ◽  
Hiroyuki Takagi
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Good Effect ◽  
Tunnel Syndrome ◽  
Early Operations

scholarly journals A Case of Carpal Tunnel Syndrome due to Dialysis-Related Amyloidosis in a Patient Undergoing Long-Term Hemodialysis

1997 ◽  
Vol 12 (1) ◽  
pp. 75-79 ◽  
Author(s):  
You Jeong Chung ◽  
Ki Chul Choi ◽  
Jeong Hoon Ha ◽  
Ki Young Kim ◽  
Seong Cheol Lee ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Tunnel Syndrome

scholarly journals The Natural History of Carpal Tunnel Syndrome in Lactation

1989 ◽  
Vol 82 (6) ◽  
pp. 349-350 ◽  
Author(s):  
J S Wand
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Natural History ◽  
Carpal Tunnel ◽  
Surgical Decompression ◽  
Steroid Injections ◽  
History Of ◽  
Tunnel Syndrome ◽  
Inflammatory Drugs ◽  
One Year ◽  
Primiparous Women

In a retrospective postal study of 27 women who have developed carpal tunnel syndrome (CTS) in the puerperium, the condition was found to affect predominantly elderly primiparous women (mean age 31.5 years). The condition was associated with breastfeeding in 24 women. The three who did not breastfeed had less severe symptoms which resolved within one month of onset. The symptoms developed a mean of 3.5 weeks following delivery, lasted 6.5 months and started to resolve within 14 days of weaning. Symptomatic treatments with either splint-age, diuretics, non-steroidal anti-inflammatory drugs or steroid injections provided some benefit. Two patients required surgical decompression. All patients were symptom-free by one year.

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