scholarly journals Carpal tunnel syndrome secondary to neoplastic space-occupying lesion

2021 ◽  
Author(s):  
Brynn Petras Charron ◽  
Tony Jung
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Wrist Pain ◽  
Diagnostic Methods ◽  
Management Options ◽  
Volar Aspect ◽  
Wide Range ◽  
History Of ◽  
Synovial Sarcomas ◽  
Tunnel Syndrome

This article presents a previously reported case of a 66-year-old woman with a mass on the volar aspect of her right wrist and a one-month history of right wrist pain. The importance of considering a wide range of causes for carpal tunnel syndrome when assessing a patient with persistent wrist pain and an associated mass is highlighted. The differential diagnosis of space-occupying lesions should include benign and malignant neoplastic etiologies in addition to non-neoplastic etiologies. The clinical features, diagnostic methods, and management options for a patient with carpal tunnel syndrome are presented and key distinctions between conventional and secondary carpal tunnel syndrome are discussed. Lipomas, schwannomas, and synovial sarcomas are discussed to showcase different neoplastic causes that may present as secondary carpal tunnel syndrome with an associated wrist mass as seen in this case.  

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 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.

Experimentally and Theoretically Narrowing Carpal Arch Width to Increase the Area Formed by the Transverse Carpal Ligament

2011 ◽  
Author(s):  
Suk H. Yu ◽  
Tracy A. Mondello ◽  
Zong-Ming Li
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Transverse Carpal Ligament ◽  
Cross Sectional ◽  
Arch Width ◽  
Endoscopic Release ◽  
Volar Aspect ◽  
Tunnel Syndrome

Carpal tunnel syndrome is conventionally treated by open and endoscopic release surgeries in which transecting the transverse carpal ligament (TCL) relieves mechanical insults around the median nerve. The TCL release surgeries yield an increase in the tunnel cross-sectional area particularly within the volar aspect of the tunnel, the arch area, where the median nerve is located. As a result of increased arch area, post-operative follow-up studies using MRI confirmed a significant volar migration of the median nerve [1]. However, transecting the TCL compromises critical biomechanical roles of the carpal tunnel [2], and therefore, it is imperative to investigate an alternative method for treating carpal tunnel syndrome patients while preserving the TCL. Li et al. suggested that increasing the TCL length and narrowing the carpal arch width (CAW) as potential alternatives for increasing the arch area [3]. However, the data from their application of palmarly directed forces to the TCL from inside of the tunnel showed that the TCL length remained relatively constant while the carpal bones were mobilized to increase the arch area [3]. The purpose of this study was to investigate the relationship between CAW narrowing and the TCL-formed arch area by experimental and geometrical modeling.

scholarly journals Typical Carpal Tunnel Syndrome or Something More? A Plastic Surgeon’s Experience With Chronic Inflammatory Demyelinating Polyneuropathy

2017 ◽  
Vol 3 ◽  
pp. 2513826X1771645
Author(s):  
Mark K. Hewitt ◽  
Shane K. F. Seal
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Chronic Inflammatory Demyelinating Polyneuropathy ◽  
Demyelinating Polyneuropathy ◽  
Neurological Deficits ◽  
Clear Cut ◽  
Inflammatory Demyelinating Polyneuropathy ◽  
History Of ◽  
Tunnel Syndrome ◽  
Peripheral Motor

Chronic inflammatory demyelinating polyneuropathy (CIDP) typically presents with widespread peripheral motor and sensory deficits that progress over a 2- to 3-month period. In this article, the authors report a case involving a 32-year-old pregnant woman presenting to hand clinic after a 3-month history of bilateral median nerve compression consistent with carpal tunnel syndrome. Carpal tunnel syndrome is a common complaint resulting from pregnancy-associated edema and is typically treated conservatively. However, upon follow-up, this patient displayed new signs of widespread peripheral neurological deficits, prompting a diagnosis of CIDP. In addition to this highly atypical presentation of CIDP, the patient’s symptoms spontaneously remitted throughout the pregnancy requiring no further treatment. This case highlights the heterogeneous nature of neurological disease presentation and the importance in considering alternative diagnosis in what may appear as clear-cut plastic surgery case.

Progression from Injection to Surgery for Trigger Finger: A Statistical Analysis

2017 ◽  
Vol 22 (02) ◽  
pp. 194-199 ◽  
Author(s):  
Hideyuki Ota ◽  
Katsuyuki Iwatsuki ◽  
Shigeru Kurimoto ◽  
Koji Iida ◽  
Hitoshi Hirata
Keyword(s):  
Logistic Regression ◽  
Surgical Treatment ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Corticosteroid Injection ◽  
Clinical Severity ◽  
Trigger Finger ◽  
Injection Treatment ◽  
History Of ◽  
Tunnel Syndrome

Background: The purpose of this study was to identify predictive factors of poor response to intra-flexoral sheath corticosteroid injection, as well as to identify factors associated with patients’ decisions to undergo surgical treatment. Methods: Data from 112 patients who received steroid injection treatment for trigger finger were reviewed retrospectively. Logistic regression was used to assess the prognostic value of factors assumed to affect prognosis (age, sex, underlying disease, history of illness, presence of carpal tunnel syndrome, multiple digit involvement, and pre- and post-operative disability scores). Results: Multiple digits were affected in 42 patients. Associated and underlying conditions were carpal tunnel syndrome (n = 36), hypertension (n = 23), hyperlipidemia (n = 14), and history of malignant tumor (n = 10). Logistic regression analysis showed that multiple digit involvement and Froimson clinical severity score were factors significantly associated with surgical treatment after intra-flexoral sheath corticosteroid injection treatment. These two factors were also found to be associated with the patients’ decisions to undergo surgical treatment. Conclusions: Although local corticosteroid injection is useful in most cases, providers need to counsel patients with multiple digit involvement and/or severe cases about the possibility of requiring additional surgical treatment.

scholarly journals Association of Carpal Tunnel Syndrome in Diabetes Patient

2021 ◽  
pp. 41-45
Author(s):  
K. Jaganath ◽  
Arun Kumar ◽  
Sathish Kumar ◽  
K. Nithish Raj ◽  
P. Sanmuga Sundaram
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Lifestyle Modification ◽  
Diabetes Patient ◽  
Diabetic Patients ◽  
Clinical Test ◽  
Medical College ◽  
History Of ◽  
Tunnel Syndrome ◽  
Hospital Study

Objective: The objective of our study was to determine Prevalence of carpel tunnel syndrome among diabetic patients and the significant association between carpel tunnel syndrome and diabetes mellitus. Materials and Methods: Study was conducted on 250 patients at Saveetha medical college and hospital. Study was conducted after getting proper ISE approval. Subjects were selected according to inclusion and exclusive criteria's. For every study subject after getting consent demographic information, past medical history of Diabetes such as type, duration, any associated complication (diabetic neuropathy, retinopathy, etc.), medication, and lifestyle modification were obtained via a self-reporting structured questionnaire and confirmed by the subject's medical record. For every subject, clinical tests such as Tinel's test and Phalen test were performed and nerve conduction study was used for diagnose carpal tunnel syndrome among the subjects who were showing positive clinical test. All data collected were entered into the standardized database and statistic analysis was calculated. Results: After analysing the data collected on association between carpel tunnel syndrome and a diabetes patient. Conclusion: It implies that there is a significant relationship between carpal tunnel syndrome and diabetes patients.

Natural history of carpal tunnel syndrome according to the neurophysiological classification

1998 ◽  
Vol 19 (6) ◽  
pp. 357-361 ◽  
Author(s):  
L. Padua ◽  
M. Lo Monaco ◽  
I. Aprile ◽  
N. Paciello ◽  
P. Tonali ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Natural History ◽  
Carpal Tunnel ◽  
History Of ◽  
Neurophysiological Classification ◽  
Tunnel Syndrome

The History of Carpal Tunnel Syndrome

1988 ◽  
Vol 13 (1) ◽  
pp. 28-34
Author(s):  
G. B. PFEFFER ◽  
R. H. GELBERMAN ◽  
J. H. BOYES ◽  
B. RYDEVIK
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Transverse Carpal Ligament ◽  
Motor Branch ◽  
Compressive Neuropathy ◽  
Anatomical Localization ◽  
History Of ◽  
Idiopathic Carpal Tunnel Syndrome ◽  
Tunnel Syndrome

Carpal tunnel syndrome is the most frequently diagnosed, best understood and most easily treated entrapment neuropathy. During the first half of the 20th century, however, most patients with carpal tunnel syndrome were diagnosed as having compression of either the brachial plexus or thenar nerve motor branch of the median nerve. As late as 1950, only twelve patients with operative release of the transverse carpal ligament for idiopathic carpal tunnel syndrome had been reported. The delay in accurate anatomical localization of this compressive neuropathy can be attributed both to the confusion caused by the diverse manifestations of median nerve compression in the carpal tunnel, and to some interesting developments that altered early investigations in this area.

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