scholarly journals Median Nerve Compression by Gouty Tophi: A Case Report

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Raffael I ◽  
Rajesh S

We describe a case of median nerve compression by gouty tophi. This is a rare condition and presented with loss of function with paraesthesia of both hands in addition to multiple tophis. Surgery was chosen for immediate relief, where a debulking of left flexor digitorum superficialis with decompression of carpal tunnel was done and resulted in improvement of symptoms but became complicated due to inadequate physiotherapy.

1985 ◽  
Vol 10 (1) ◽  
pp. 83-84 ◽  
Author(s):  
K. AMETEWEE ◽  
A. HARRIS ◽  
M. SAMUEL

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.


HAND ◽  
1978 ◽  
Vol os-10 (2) ◽  
pp. 181-183 ◽  
Author(s):  
Paul R. Manske

summary This case report of a fracture of the hook of the hamate presenting as carpal tunnel syndrome emphasizes the importance of a careful physical examination, the necessity for a carpal tunnel roentgenogram and a high degree of suspicion by the surgeon in patients with symptoms of median nerve compression following trauma to the wrist.


Hand Surgery ◽  
2007 ◽  
Vol 12 (02) ◽  
pp. 83-86 ◽  
Author(s):  
Marios D. Vekris ◽  
Marios G. Lykissas ◽  
Alexandros E. Beris

Lipomas are space-occupying lesions that may rarely be responsible for compression neuropathies. Here we report a case of a lipoma arising from flexor tenosynovium that was responsible for a sensory disturbance resulting from the compression of the median nerve in the carpal tunnel. The patient had complete relief from the neurologic symptoms six months after lipoma excision.


HAND ◽  
1981 ◽  
Vol os-13 (2) ◽  
pp. 164-166 ◽  
Author(s):  
F. J. Harvey ◽  
J. S. Bosanquet

The compression of peripheral nerves by simple ganglia is a well recognized and documented clinical entity. It has been reported where ganglia have been associated with the ankle, knee and elbow joints (D. M. Brooks, 1952). It is probably best known in compression of the deep branch of the ulnar nerve in the wrist, first described by Seddon (Seddon H. J. 1952). Median nerve compression at the wrist, however, that causes a carpal tunnel syndrome would appear to be well recognized but poorly documented. Brooks (1952) described a case and until now, no others have been recorded in the literature. This case report describes such median nerve involvement with some interesting features.


2016 ◽  
Vol 32 (2) ◽  
pp. 152-155
Author(s):  
Sayyed Ehtesham Hussain Naqvi ◽  
Azam Haseen ◽  
Mohammed Haneef Beg ◽  
Eram Ali ◽  
Mohammed Arshad

2020 ◽  
Vol 15 (01) ◽  
pp. e1-e4
Author(s):  
Amgad S. Hanna ◽  
Zhikui Wei ◽  
Barbara A. Hanna

AbstractMedian nerve anatomy is of great interest to clinicians and scientists given the importance of this nerve and its association with diseases. A rare anatomical variant of the median nerve in the distal forearm and wrist was discovered during a cadaveric dissection. The median nerve was deep to the flexor digitorum superficialis (FDS) in the carpal tunnel. It underwent a 360-degree spin before emerging at the lateral edge of FDS. The recurrent motor branch moved from medial to lateral on the deep surface of the median nerve, as it approached the distal carpal tunnel. This variant doesn't fall into any of Lanz's four groups of median nerve anomalies. We propose a fifth group that involves variations in the course of the median nerve. This report underscores the importance of recognizing variants of the median nerve anatomy in the forearm and wrist during surgical interventions, such as for carpal tunnel syndrome.


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