scholarly journals A Fibroma of Tendon Sheath Causing Carpal Tunnel Syndrome: A Case Report of an Atypical Clinical Presentation

2021 ◽  
Vol 82 ◽  
Author(s):  
Ara Ko ◽  
Geun Young Lee ◽  
Sujin Kim ◽  
Jaesung Lee ◽  
Hye Won Hwang
Author(s):  
Victoria Sadovici-Bobeica ◽  
Lucia Mazur-Nicorici ◽  
Aliona Nicorici ◽  
Virginia Salaru ◽  
Natalia Loghin-Oprea ◽  
...  

This case report describes an unusual form of gout, called miliarial gout, in association with carpal tunnel syndrome in a 54-year-old woman. Miliarial gout was first described in 2007 and is a very rare presentation of chronic tophaceous gout. The latter condition can cause carpal tunnel syndrome, but this association has not previously been described in association with miliarial gout. In addition, the authors discuss the use of the parsimony principle in internal medicine whereby a single cause is first sought for different symptoms presenting at the same time.


1986 ◽  
Vol 11 (1) ◽  
pp. 131-132
Author(s):  
D. K. FAITHFULL ◽  
D. H. MOIR ◽  
J. IRELAND

The synovial membrane in the carpal tunnel of twenty-nine patients suffering from the typical clinical picture of carpal tunnel syndrome was examined microscopically over an eighteen month period with a follow-up of six months to two years. Unusual causes such as tendon sheath tumours and post-Colles fractures were excluded. Three micropathological pictures emerged. Oedema was found in twenty-four patients, chronic perivascular inflammation in three and fibrinous synovitis in two. No difference was detected in the clinical presentation in the three pathological appearances. The authors believe that oedema is the typical picture and the other two appearances could indicate irritation of the synovial membrane as a result of finger activity.


Neurosurgery ◽  
2007 ◽  
Vol 60 (5) ◽  
pp. E956-E956 ◽  
Author(s):  
Hu Liang Low ◽  
Viraliur P. Sivasamy ◽  
A. Paul Griffiths ◽  
Robert M. Redfern

Abstract OBJECTIVE Implantation epidermoid cysts have been reported after a variety of surgical procedures. Although carpal tunnel surgery is the most common peripheral nerve operation, there have been no previous reports of these cysts after carpal tunnel decompression. We present a case of an implantation epidermoid cyst after carpal tunnel surgery. CLINICAL PRESENTATION A 41-year-old man presented with recurrence of carpal tunnel syndrome and an enlarging mass at the site of his previous carpal tunnel decompression. INTERVENTION The operation site was re-explored, and a subcutaneous mass was removed. This was histologically shown to be an implantation epidermoid cyst. CONCLUSION The possibility of an implanted epidermoid cyst should be considered in any patient who presents with a recurrence of carpal tunnel symptoms and a mass at the site of the previous operation. It is possible that the occurrence of these cysts may be related to the use of polyglactin sutures for wound closure. In this case, the result of surgery was excellent.


1987 ◽  
Vol 12 (2) ◽  
pp. 229-232
Author(s):  
N. C. NEAL ◽  
J. McMANNERS ◽  
G. A. STIRLING

The histological features of the flexor tendon sheath in the spontaneous carpal tunnel syndrome were studied. The main differences between our findings and previous studies were twofold. Firstly a striking absence of inflammation in our material and secondly the diversity of the pathological changes encountered — alterations in the connective tissue especially the collagen; proliferation with thickening of the tissues of the tendon sheath; fibrosis; amyloid deposition; oedema; vascular lesions including thickening of vessels walls, intimal hyperplasia, and thrombosis; and a foreign body giant cell reaction. Although the lesions described here may not be significant in every case in which they are encountered, they do appear to support the view that pressure in the carpal tunnel and ischaemia are the important factors in a majority of cases of the spontaneous carpal tunnel syndrome.


2001 ◽  
Vol 59 (3A) ◽  
pp. 582-586 ◽  
Author(s):  
Rosana Herminia Scola ◽  
Lineu Cesar Werneck ◽  
Cássio Slompo Ramos ◽  
Ricardo Pasquini ◽  
Hans Graf ◽  
...  

The authors report one case of amyloidosis associated with muscular pseudohypertrophy in a 46-year-old woman, who developed weakness, macroglossia and muscle hypertrophy associated with primary systemic amyloidosis. Electromyography showed a myopathic pattern and bilateral carpal tunnel syndrome. The muscle biopsy presented with a type I and II fiber hypertrophy and infiltration of amyloid material in the interstitious space and artery walls. She underwent bone marrow transplantation with stabilization and subjective improvement of the clinical picture.


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