A wakeboarding injury presented as acute carpal syndrome and median nerve contusion after wrist strangulation: a case report

Abstract

BackgroundWe present a case of combined median nerve contusion with immediate loss of sensation after the strangulation with a wakeboarding rope and prolonged referral to our department 72 hours after the injury accompanied by an acute carpal tunnel syndrome with immediate relief of numbness of a significant proportion of the median nerve following surgical decompression.Case presentationThe palmar branch of the median nerve was surrounded by a significant haematoma in addition to the strangulation damage caused by its more superficial location in contrast to the median nerve.ConclusionIn case of acute median neuropathy, urgent surgical intervention with exploration, decompression of both, the median nerve and the superficial branch of the median nerve, accompanied by compartment measurements of the forearm should be performed to regain or re-establish neurological integrity.

Management of Acute Carpal Tunnel Syndrome: A Systematic Review

“…The 86 selected articles included 69 case reports, 13 case series, two retrospective, and two prospective studies. 2 , 3 , 4 , 7 , 13 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , …”

Severe neck lacerations during cable skiing in a child

“…Rope strangulations have been reported while wakeboarding. A case of median nerve compression after a wrist strangulation prompted a delayed surgical decompression and hematoma evacuation [7], while a dramatic case of hand amputation was reported in a 55 year old wakeboard instructor as the tow cable became wrapped around the patient's wrist before the towing jet-ski started [8].…”

Injuries Related to Wakeboarding in Brazil: A Cross-Sectional Study

“…Besides, the speed and height achieved by the wakeboarders are predisposing factors for traumatic injuries (Su, Lim, Tan, Chua, & Chui, 2007). The force applied to the arms and shoulders to grab the handle and sustain the boat or cables system speed can lead to muscle injuries on superior limbs (Barendse-Hofmann, Steenvoorde, van Doorn, & Zeillemaker, 2009;Draghi & Gitto, 2017;Knobloch, Gohritz, Altintas, Spies, & Vogt, 2009;Lim, Wee, & Lee, 2012;Pascual-Garrido, Swanson, & Bannar, 2012).…”