scholarly journals An Unusual Case of Acute Carpal Tunnel Syndrome

Cureus ◽  
2021 ◽  
Author(s):  
Simranjit Singh ◽  
Fnu Sanna ◽  
Natasha Singh ◽  
Ramesh Adhikari ◽  
Vinod Kumar
Hand ◽  
2021 ◽  
pp. 155894472110146
Author(s):  
Brian W. Starr ◽  
Douglas R. Dembinski ◽  
Frank Yuan ◽  
Elizabeth A. Lax ◽  
Suma Yalamanchili ◽  
...  

Background A paucity of literature exists specifically examining self-inflicted (SI) gunshot wounds (GSWs) to the hand and wrist, which impart greater energy and have a higher risk of adverse events than non–self-inflicted (NSI) GSWs. Methods We retrospectively reviewed records of patients who presented to our plastic surgery service after sustaining acute GSWs involving the hand and wrist between 2016 and 2018. Results We identified 60 patients who sustained GSWs involving the hand and wrist; 17 (28%) were SI, and 43 (72%) were NSI. Within the SI group, 100% of patients were Caucasian, with an average age of 54 years. Within the NSI cohort, 77% of patients were Black, 19% were Caucasian, and 4% identified as other. While not statistically significant, we noted a substantial increase in patients requiring operative intervention in the SI cohort (65% SI vs 37% NSI, P = .08). There was a statistically significant increase in patients requiring more than 1 operation in SI patients (24% SI vs 5% NSI, P = .04). Patients who sustained SI injuries were also more likely to present with acute carpal tunnel syndrome requiring urgent surgical release and to develop wound infections (12% vs 0%, P = .08). Conclusions Self-inflicted GSWs involving the hand and wrist are associated with greater morbidity than their low-energy NSI counterparts. Individuals presenting with SI GSWs are more likely to be older, to require multiple operations, to develop infections, and to present with acute carpal tunnel syndrome requiring urgent surgical decompression.


1998 ◽  
Vol 23 (1) ◽  
pp. 114-114 ◽  
Author(s):  
D. G. PARTHENIS ◽  
C. B. KARAGKEVREKIS ◽  
M. A. WALDRAM

We describe a patient who developed acute carpal tunnel syndrome due to spontaneous bleeding without a history of injury. Immediate decompression relieved the symptoms. Further haematological investigations revealed that the patient was suffering from von Willebrand’s disease.


Author(s):  
Mohamed Ali Sbai ◽  
Slim Dabloun ◽  
Sofien Benzarti ◽  
Myriam Khechimi ◽  
Abdesselem Jenzeri ◽  
...  

2012 ◽  
Vol 35 (9) ◽  
pp. 639-646 ◽  
Author(s):  
Hardeep Jhattu ◽  
Sophie Klaassen ◽  
Charlotte Ying ◽  
Muhammad Ali Hussain

2021 ◽  
Author(s):  
Søren Bruno Elmgreen

ABSTRACT Median nerve entrapment is a frequent disorder encountered by all clinicians at some point of their career. Affecting the distal median nerve, entrapment occurs most frequently at the level of the wrist resulting in a carpal tunnel syndrome. Median nerve entrapment may also occur proximally giving rise to the much less frequent pronator teres syndrome and even less frequent anterior interosseous nerve syndrome, which owing to the paucity of cases may prove challenging to diagnose. An unusual case of anterior interosseous syndrome precipitated by extraordinary exertion in a tetraplegic endurance athlete is presented with ancillary dynamometric, electrodiagnostic, ultrasonographic, and biochemical findings.


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