Syndrome du canal carpien chez l’enfant. À propos de 10 cas cliniques

Leduc, A; Perrot, Pierre; Truffandier, Marie-Victoria; Bellier-Waast, F.; Duteille, Franck

doi:10.1016/j.anplas.2013.12.001

Cited by 4 publications

(3 citation statements)

References 17 publications

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“…As suggested by other authors, we recommend early surgical decompression of the median nerve [5,6,8,16,17]. When surgery was delayed, the recovery of electrophysiological signs was slow.…”

Section: Discussionmentioning

confidence: 76%

“…When surgery was delayed, the recovery of electrophysiological signs was slow. The orthopedic surgeons performed an open approach in all our cases (open division of the flexor retinaculum) as in the series of Haddad et al An endoscopic approach is not advisable in children and not used because the field of view is narrowed and does not allow inspection of the CT [5].…”

Section: Discussionmentioning

confidence: 99%

“…CTS is an entrapment neuropathy of the median nerve at the level of the carpal tunnel (CT), where the nerve resides with the flexor tendons [3]. While it is the most common entrapment neuropathy in adults (4-5% of the population especially between ages 40 and 60), it is extremely rare in children [3][4][5][6]. The most common etiology in the pediatric population is due to lysosomal storage diseases and more specifically, MPS [7].…”

Section: Introductionmentioning

confidence: 99%

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Diagnosis and Management of Carpal Tunnel Syndrome in Children with Mucopolysaccharidosis: A 10 Year Experience

et al. 2019

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Introduction: Mucopolysaccharidoses (MPS) are rare and clinically heterogeneous lysosomal storage disorders. Carpal tunnel syndrome (CTS) is a frequent complication in MPS types I, II, VI, and VII. CTS symptoms are difficult to recognize in these children, and often there is a lack of appropriate investigations. Patients and methods: In this retrospective study, all MPS patients were referred to the electrodiagnostic (EDX) laboratory of a single academic center during a 10-year period. Forty-eight children underwent serial EDX studies for CTS diagnosis and follow-up after surgery. Forty-two patients were diagnosed with CTS. Sensory nerve conduction velocity (SNCV), distal motor latency (DML), and motor nerve conduction velocity through the wrist (MNCV-W) of the median nerve were reviewed and analyzed. Results: One-hundred-three EDX examinations were performed on 48 patients. The median age at disease diagnosis was 2.1 years versus 4.9 years for CTS diagnosis. Analysis of the series revealed that electrophysiological abnormalities of CTS could have started much earlier (before the age of 2 years or at diagnosis of MPS). Diagnosis was based on SNCV and DML results, and MNCV-W was taken into consideration. Bilateral CTS was frequent (88%) in the types of MPS studied in our population and was observed from the first year of life, and may not have be associated with obvious clinical symptoms. EDX studies also helped in the follow-up and detection of CTS relapses, thus leading to an early intervention allowing a better recovery. Conclusion: EDX studies should be performed promptly and regularly in these patients. Prospective studies are required in order to understand the effect of disease-specific therapies in preventing the development of CTS in these patients. Synopsis: EDX studies should be performed in MPS patients soon after diagnosis and during routine follow-up, before and after surgical decompression.

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“…As suggested by other authors, we recommend early surgical decompression of the median nerve [5,6,8,16,17]. When surgery was delayed, the recovery of electrophysiological signs was slow.…”

Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%