J Korean Soc Surg Hand.  2013 Jun;18(2):81-84. 10.12790/jkssh.2013.18.2.81.

Carpal Tunnel Syndrome in Congenital Radial Dysplasia

Affiliations
  • 1Department of Orthopedic Surgery, Pusan Paik Hospital, Inje University College of Medicine, Busan, Korea. honaud0@hanmail.net

Abstract

Congenital radial dysplasia is a rare disease with the defect or hypoplasia of radial side of forearm and hand. Congenital radial dysplasia is often accompanied by deformities of other parts. However, carpal tunnel syndrome caused by congenital radial dysplasia is very rare. We report one case of 53-year-old man with congenital radial dysplasia who underwent surgery for carpal tunnel syndrome.

Keyword

Congenital radial dysplasia; Carpal tunnel syndrome; Carpal tunnel release

MeSH Terms

Carpal Tunnel Syndrome
Congenital Abnormalities
Forearm
Hand
Rare Diseases

Figure

  • Fig. 1. Gross photograph of both hand. Severe thenar muscle atrophy is seen at right hand.

  • Fig. 2. Both wrist anteroposterior radiography and both wrist carpal tunnel view. Remnant of scaphoid is seen at adjacent radial process.

  • Fig. 3. Preoperative computed tomogram at level of the hook of hamate of the both wrist. The anteroposterior diameter and cross section area of the affected side (A) are smaller than those of unaffected side (B).

  • Fig. 4. Intraoperative finding of median nerve. Severe stenosis in carpal tunnel and compression median nerve just below retinaculum is noted.


Reference

1. Chung DW, Han JS, Lee YG, Chang KS. The results of open release in carpal tunnel syndrome. J Korean Orthop Assoc. 1995; 6:1733–8.
Article
2. Kang ES, Kim JY, Kang HJ, Hahn SB. Congenital hypoplasia of carpal scaphoid bone. J Korean Soc Surg Hand. 2003; 8:186–8.
3. James MA, McCarroll HR Jr, Manske PR. The spectrum of radial longitudinal deficiency: a modified classification. J Hand Surg Am. 1999; 24:1145–55.
Article
4. Bayne LG, Klug MS. Long-term review of the surgical treatment of radial deficiencies. J Hand Surg Am. 1987; 12:169–79.
Article
5. Liang CL. CT-scanning study of cross-sectional area of the carpal tunnel in cases of carpal tunnel syndrome. Nihon Seikeigeka Gakkai Zasshi. 1987; 61:1033–45.
6. Radford PJ, Matthewson MH. Hypoplastic scaphoid: an unusual cause of carpal tunnel syndrome. J Hand Surg Br. 1987; 12:236–8.
7. Kimura H, Ikuta Y, Ishida O. Carpal tunnel syndrome in radial dysplasia. J Hand Surg Br. 2001; 26:533–6.
Article
Full Text Links
  • JKSSH
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr