A Clinical Study of Bilateral Congenital Carpal Tunnel Syndrome - 1 Case report

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Journal of the Korean Society for Surgery of the Hand 1997;2(1):109-115.
Published online January 1, 1997.

Duke Whan Chung,Chung Soo Han,Young Suk Song,Cheol Ho Kang

선천성 수근관 증후군의 임상적고찰 - 1례 보고 -

정덕환,한정수,송영석,강철호

Abstract

The carpal tunnel syndrome is the most common peripheral nerve entrapment syndrome. The typical symptoms are pain, numbness and paresthesia in the median nerve territory of the hand and progressive thenar muscle atrophy. The carpal tunnel syndrome is unusual in childhood, and familial occurrence has been reported infrequently. Congenital involvement in the pediatric population has been noted, most often secondary to systemic disease. Systemic diseases are as follows, mucopolysaccharidosis, mucolipidosis, melorheos- tosis, fibrofatty proliferation, thickening of synovial tissue, and neurofibromatosis. A case of congenital carpal tunnel syndrome in a seven-year-old boy, associated with abnormal thickening of the transverse carpal ligament and atrophy of the median nerve below this ligament, is described. Clinical, electrodiagnostic, and surgical findings are presented: all were consistent with atrophy of the median nerve below the transverse carpal ligament. Familial history of carpal tunnel syndrome was negative and no systemic etiology was identified in this case. This child was suggestive of idiopathic carpal tunnel syndrome. In the treatment of carpal tunnel syndrome, when the symptom is mild and its duration is short, conservative treatment such as splinting or local steroid injection is considered, but when the neurologic deficit is prominent and conservative treatment is not effective, surgical decompression is indicated. Authors experienced 1 patient(2 cases) of congenital carpal tunnel syndrome treated with surgical decompression and opponensplasty. We are going to report a case of congenital carpal tunnel syndrome with brief literature.

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