Acute Carpal Tunnel Syndrome and Median Nerve Neurapraxia

Holbrook, Hayden S; Hillesheim, Richard A.; Weller, William J.

doi:10.1016/j.ocl.2021.11.005

Cited by 7 publications

(10 citation statements)

References 28 publications

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“…Especially, there are no randomized controlled trials or comparative studies to assess and compare ACTS treatments. Additionally, although the sample size of 197 was sufficient for logistic regression analyses with only one predictor, 100 it may not be adequate for logistic regression analyses with an interaction term. Many of the analyzed articles were published more than 10 years ago, highlighting the likely outdated information and questioning the validity of the treatment approaches reported in each study.…”

Section: Discussionmentioning

confidence: 99%

Management of Acute Carpal Tunnel Syndrome: A Systematic Review

Ku,

Gannon,

Fang

et al. 2023

Journal of Hand Surgery Global Online

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Section: Discussionmentioning

confidence: 99%

Management of Acute Carpal Tunnel Syndrome: A Systematic Review

Ku,

Gannon,

Fang

et al. 2023

Journal of Hand Surgery Global Online

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“…It is uncommon, and most cases have a traumatic etiology. 1 , 2 The treatment is urgent carpal tunnel decompression. Distinguishing this from a less acute median nerve injury or neuropathy is important, and is on the basis of the speed of onset, progression, and the severity of symptoms.…”

Section: Introductionmentioning

confidence: 99%

“…3–6 The diagnosis must be made early to facilitate timely surgery, avoiding persistent or permanent nerve injury and dysfunction. 1,2…”

Section: Introductionmentioning

confidence: 99%

“…1,2 The etiology most frequently associated with acute carpal tunnel syndrome is a distal radial fracture. 1,2,5 Emergent decompression of the carpal tunnel may be combined with concurrent surgical fixation of the fracture.…”

Section: Introductionmentioning

confidence: 99%

“…[3][4][5][6] The diagnosis must be made early to facilitate timely surgery, avoiding persistent or permanent nerve injury and dysfunction. 1,2 The etiology most frequently associated with acute carpal tunnel syndrome is a distal radial fracture. 1,2,5 Emergent decompression of the carpal tunnel may be combined with concurrent surgical fixation of the fracture.…”

Section: Introductionmentioning

confidence: 99%

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Acute Carpal Tunnel Syndrome: Early Nerve Decompression and Surgical Stabilization for Bony Wrist Trauma

Samuel

Jeffrey

Hayter

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: We undertook this study to investigate the outcomes of surgical treatment for acute carpal tunnel syndrome following our protocol for concurrent nerve decompression and skeletal stabilization for bony wrist trauma to be undertaken within 48 hours. Methods: We identified all patients treated at our trauma center following this protocol between January 1, 2014 and December 31, 2019. All patients were clinically reviewed at least 12 months after surgery and assessed using the Brief Michigan Hand Outcomes Questionnaire, the Boston Carpal Tunnel Questionnaire, and sensory assessment with Semmes-Weinstein monofilament testing. Results: The study group was made up of 35 patients. Thirty-three patients were treated within 36 hours. Patients treated with our unit protocol for early surgery comprising nerve decompression and bony stabilization within 36 hours report excellent outcomes at medium term follow-up. Conclusions: We propose that nerve decompression and bony surgical stabilization should be undertaken as soon as practically possible once the diagnosis is made. This is emergent treatment to protect and preserve nerve function. In our experience, the vast majority of patients were treated within 24 hours; however, where a short period of observation was required, excellent results were generally achieved when treatment was completed within 36 hours.

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Subsequent bilateral acute carpal tunnel syndrome due to tophaceous infiltration: A case report

Yeoh,

Wu,

Shih

et al. 2024

World J Clin Cases

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BACKGROUND Acute carpal tunnel syndrome (ACTS) is commonly caused by repetitive strain, trauma, or inflammatory conditions. However, ACTS due to tophaceous gout is a clinical event that remains poorly understood and underreported. This rare manifestation necessitates prompt diagnosis and intervention to prevent irreversible complications. CASE SUMMARY A 51-year-old man who had poorly controlled hyperuricemia presented with ACTS secondary to tophaceous gout. Because of rapid symptom progression symptoms and severe median nerve compression within 3 mo, the patient underwent emergency decompression surgery for both wrists at different time points. Postoperatively, he exhibited complete recovery of sensory and motor functions, with no recurrence at long-term follow-up. Favorable outcomes were achieved through immediate decompression surgery, anti-inflammatory medications, postoperative active and passive range-of-motion exercises, and intermittent wrist splinting. Prompt diagnosis and surgical intervention, when necessary, are crucial for preventing long-term complications and obtaining favorable outcomes in patients with ACTS. An optimal gout management strategy involving pharmacologic therapy and lifestyle modifications may help minimize ACTS recurrence and improve clinical outcomes. CONCLUSION Prompt surgical intervention and optimal gout management are crucial for preventing irreversible nerve damage and ACTS recurrence.

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Acute Carpal Tunnel Syndrome and Median Nerve Neurapraxia

Cited by 7 publications

References 28 publications

Management of Acute Carpal Tunnel Syndrome: A Systematic Review

Management of Acute Carpal Tunnel Syndrome: A Systematic Review

Acute Carpal Tunnel Syndrome: Early Nerve Decompression and Surgical Stabilization for Bony Wrist Trauma

Subsequent bilateral acute carpal tunnel syndrome due to tophaceous infiltration: A case report

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