Carpal tunnel syndrome or congenital hand anomaly: a clinical and electromyographic study

Kostera‐Pruszczyk, Anna; Rowińska-Marcińska, K; Ryniewicz, Barbara; Olszewicz-Dukaczewska, M.; Gola, Magdalena

doi:10.1111/j.1085-9489.2005.10312.x

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…1,10 Other published and possible conditions that might provoke carpal tunnel syndrome in children are listed in Table 3. 2,9–14 In carpal tunnel syndrome secondary to mucopolysaccharidoses and mucolipidoses, clinical signs typical of adult carpal tunnel syndrome are rarely seen, and difficulty with fine motor tasks is the most frequent finding (as in our case 6). In such cases, carpal tunnel syndrome probably develops because of a combination of factors, such as excessive lysosomal storage in the connective tissue of the flexor retinaculum and anatomic changes caused by bone dysplasia.…”

Section: Discussionmentioning

confidence: 61%

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Carpal Tunnel Syndrome in Children

et al. 2013

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Carpal tunnel syndrome rarely occurs in children. We retrospectively analyzed clinical data of 11 patients aged 5-17 diagnosed with carpal tunnel syndrome at a single pediatric neuromuscular center. Nerve conduction studies were performed according to the American Association of Electrodiagnostic Medicine recommendations. Additional imaging tests of the wrist were performed in 10 patients. In our group of 11 children, carpal tunnel syndrome was idiopathic in only 1 case. In the remaining subjects, it was secondary to congenital bone anomaly (6), hypothyroidism (2), or myopathic contractures (1). In 1 case, metabolic workup revealed an underlying mucopolysaccharidosis. Our results confirm that idiopathic carpal tunnel syndrome is rare in children. Hand clumsiness and thenar hypoplasia rather than sensory complaints are the presenting symptoms. Whenever carpal tunnel syndrome is diagnosed in a child, a thorough differential diagnosis should be made because of the secondary nature of this disease in most pediatric patients.

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Section: Discussionmentioning

confidence: 61%

“…In most cases, childhood carpal tunnel syndrome is a secondary phenomenon. [9][10][11][12] The first signs of carpal tunnel syndrome in children can be overlooked. Hand clumsiness in 4 of our 11 patients had not been attributed to carpal tunnel syndrome for a long time.…”

Section: Discussionmentioning

confidence: 99%

Carpal Tunnel Syndrome in Children

et al. 2013

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“…In pediatric patients, median nerve (MN) mononeuropathy is rarely documented. [1][2][3][4][5][6][7][8][9][10][11][12][13][14] In this population, TMA has more often been attributed to malformations of the radial carpal bones (►Table 1), the most frequent of which is a regional defect known as Cavanagh syndrome. 3 Structural malformations cause the atrophy through different mechanisms, among which are disuse arising from low joint motility, anomalous muscle insertion, and muscle agenesis and/or hypoplasia.…”

Section: Introductionmentioning

confidence: 99%

Congenital Bilateral Thenar Amyotrophy due to Carpal Tunnel Narrowing

et al. 2016

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Bilateral thenar musculature atrophy due to carpal tunnel syndrome is rarely documented in children. It is usually the result either of carpal bone malformation or of hereditary metabolic disorders. We report a case of a 5-year-old female patient presenting with thenar atrophy due to severe median neuropathy at the carpal tunnel of both hands. Using high-resolution ultrasonography, we detected a significant carpal tunnel deformation due to a narrowing at its inlet. Additional tests did not reveal structural alterations of carpal bones nor metabolic disorders. Surgery, which had been initially ruled out, was performed when the patient was 15 years old in view of progressive worsening (complex regional autonomic syndrome). Surgery improved symptoms and confirmed the above morphological findings. We present a case of both acute bilateral median neuropathy at carpus and bilateral symmetric deformation of carpal tunnel due to a narrowing of the entrance in a healthy young girl without other causative pathology. To our knowledge, such a case has not been described before.

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Physical Development in Children and Adolescents and Age-Related Risks

Rice¹,

Lueder²

2007

Ergonomics for Children

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Carpal tunnel syndrome or congenital hand anomaly: a clinical and electromyographic study

Cited by 3 publications

References 6 publications

Carpal Tunnel Syndrome in Children

Carpal Tunnel Syndrome in Children

Congenital Bilateral Thenar Amyotrophy due to Carpal Tunnel Narrowing

Physical Development in Children and Adolescents and Age-Related Risks

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