Acute Carpal Tunnel Syndrome

Tosti, Rick; Ilyas, Asif M.

doi:10.1016/j.ocl.2012.07.015

Cited by 23 publications

(19 citation statements)

References 37 publications

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“…Distal radius fracture is the most commonly reported cause of acute CTS; atraumatic cases are rarely reported. 1,9 Symptoms of median nerve contusion after DRFx are clinically distinguished from those of acute CTS by rapid and severe worsening of symptoms in the latter. 1 Left untreated, acute CTS may result in severe, permanent damage to the median nerve and associated disability.…”

Section: Discussionmentioning

confidence: 99%

“…1,9 Symptoms of median nerve contusion after DRFx are clinically distinguished from those of acute CTS by rapid and severe worsening of symptoms in the latter. 1 Left untreated, acute CTS may result in severe, permanent damage to the median nerve and associated disability. Most literature addressing CTS after DRFx-ORIF investigated the association between prophylactic CTR (performed during the same surgery as DRFx-ORIF) and the presence or absence of median nerve dysfunction or symptoms after DRFx-ORIF.…”

Section: Discussionmentioning

confidence: 99%

“…Distal radius fracture (DRFx) is the most commonly reported cause of acute carpal tunnel syndrome (CTS). 1 This condition is typically differentiated from median nerve contusion by the rapid onset and progression of symptoms. 2e4 Postoperative onset of CTS has been identified as a complication of using volar plates in DRFx open reduction internal fixation (ORIF) (DRFx-ORIF).…”

mentioning

confidence: 99%

“…5 A preexisting diagnosis of CTS and/or post-DRFx median nerve paresthesia is an acknowledged indication for prophylactic release. 1 Other described indications for prophylactic release include high-energy injuries, relative youth, male gender, and multifragmented, displaced, and intra-articular fractures. 3,6 However, there is no evidence-based consensus on when to perform prophylactic carpal tunnel release (CTR).…”

mentioning

confidence: 99%

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Predictors of Acute Carpal Tunnel Syndrome Following ORIF of Distal Radius Fractures: A Matched Case–Control Study

Earp

Mora

Floyd

et al. 2019

Journal of Hand Surgery Global Online

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acute carpal tunnel syndrome carpal tunnel release complications distal radius fracture Purpose: Acute carpal tunnel syndrome (CTS) can develop after distal radius fractures (DRFx), necessitating urgent carpal tunnel release (CTR). This complication has not been specifically investigated after open reduction internal fixation (ORIF) of DRFx (DRFx-ORIF). Identifying risk factors would allow for better definition of the indications for prophylactic CTR at the time of DRFx-ORIF. Methods: We reviewed the records of 1,750 patients who underwent DRFx-ORIF at 2 level I trauma centers over 90 months. Of these patients, 10.7% underwent simultaneous CTR with DRFx-ORIF. Twenty patients who developed acute CTS within 3 weeks after DRFx-ORIF were identified. A case-controlled methodology was used; each patient was matched with 4 control patients who were treated with DRFx-ORIF but did not develop acute CTS on the operative limb. Differences between cases and controls were evaluated via univariable logistic regression modeling. Multivariate analysis was not performed because of the relatively small size of the cohort. Results: The development of acute CTS after DRFx surgical treatment resulted in 1.1% of patients returning to the operating room for an urgent second surgery. Three statistically significant risk factors for the development of acute CTS after DRFx-ORIF were identified via univariable analysis. Open fractures, AO C-type DRFx, and any intervening surgical procedure between injury and DRFx-ORIF were associated with greater relative odds of developing acute CTS. Conclusions: Patients with open fractures, AO C-type DRFx, and any intervening surgical procedure are at increased risk for developing acute CTS after DRFx-ORIF and warrant consideration for prophylactic release at the time of DRFx-ORIF. Type of study/level of evidence: Therapeutic III.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Predictors of Acute Carpal Tunnel Syndrome Following ORIF of Distal Radius Fractures: A Matched Case–Control Study

Earp

Mora

Floyd

et al. 2019

Journal of Hand Surgery Global Online

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“…If the patient has these symptoms, we should rule out other uncommon causes of compressive neuropathy of the wrist. Acute onset of median nerve entrapment symptom tends to result from trauma, swelling, infections, inflammation, anomalous anatomy, coagulopathy, or tumorous conditions 6 . In this present case, atypical symptoms were noted, which were painful sensation at the volar aspect of the wrist and abrupt symptom onset.…”

Section: Discussionmentioning

confidence: 99%

Thrombosed Persistent Median Artery with Bifid Median Nerve Causing Acute Carpal Tunnel Syndrome: A Case Report

Kim

Park

Choi³

2017

Arch Hand Microsurg

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Among the numerous causes of carpal tunnel syndrome, thrombosed persistent median artery with bifid median nerve is extremely rare. Our presentation shows that an unusual case and surgical outcome of thrombosed persistent median artery with bifid median nerve causing acute carpal tunnel syndrome. Care has to be taken that identification of abnormal anatomy in the carpal tunnel is essential, especially in abruptly occurred carpal tunnel syndrome. We suggest that Doppler ultrasound examination is very useful in an outpatient clinic-based for identification of abnormal structure, which makes more quickly and accurate diagnosis than magnetic resonance image.

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