Carpal Tunnel Syndrome and Trigger Wrist Caused by Localized Amyloidosis: A Case Report

2017 ◽  
Vol 22 (04) ◽  
pp. 508-511
Author(s):  
Takuma Wakasugi ◽  
Ritsuro Shirasaka ◽  
Toshiyuki Kawauchi ◽  
Koji Fujita ◽  
Atsushi Okawa
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Flexor Digitorum Profundus ◽  
Left Hand ◽  
Localized Amyloidosis ◽  
Volar Aspect ◽  
Tingling Sensation ◽  
Tunnel Syndrome ◽  
Trigger Wrist ◽  
Flexor Digitorum

We report a case of carpal tunnel syndrome and trigger wrist caused by localized amyloidosis. A 37-year-old man, who worked as a manufacturer, presented with a 5-month history of tingling sensation in the three radial fingers of the left hand and a painful click at the volar aspect of the wrist during digital motion. We divided the transverse carpal ligament and detected diffuse tenosynovitis that was especially severe around the flexor digitorum profundus tendons. Histological findings led to a diagnosis of amyloidosis. Localized amyloidosis could thus be a cause of trigger wrist. Systemic amyloidosis may develop in patients with localized amyloidosis; therefore, patients with trigger wrist caused by flexor tenosynovitis should be investigated for the existence of localized amyloidosis, with biopsy of the flexor tenosynovium.

Trigger Wrist Associated with Carpal Tunnel Syndrome Caused by Flexor Digitorum Superficialis Muscle Belly Hypertrophy: A Case Report and Literature Review

2020 ◽  
Author(s):  
Behzad Enayati ◽  
Mahmoud Farzan ◽  
Shahram Akrami ◽  
Pouya Tabatabaei Irani ◽  
Alireza Moharrami
Keyword(s):  
Case Report ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Steroid Injection ◽  
Surgical Techniques ◽  
Muscle Belly ◽  
Painful Sensation ◽  
Tunnel Syndrome ◽  
Trigger Wrist ◽  
Flexor Digitorum

Background: Trigger wrist is a rare disease with few reported cases in the literature. This condition presents with painful sensation and a clicking sound during finger or wrist movements. Case Report: In this report, we present a 32-year-old man suffering from trigger wrist along with carpal tunnel syndrome caused by muscle belly hypertrophy and extension to the carpal tunnel. The diagnostic approach and surgical techniques are explained. Conclusion: In cases of trigger wrist associated with carpal tunnel syndrome (CTS), there may be an underlying cause covering both the trigger wrist and CTS at the volar side of the wrist. Therefore, a precise clinical examination is recommended to avoid unnecessary surgery, releasing of A1 pulley, or steroid injection.  

scholarly journals Conservative treatment for Carpal Tunnel Syndrome caused by persistent median artery: a case report

2021 ◽  
Vol 10 (12) ◽  
pp. e483101220884
Author(s):  
Beatriz Pereira Vaz Tamiozzo ◽  
Eduardo Tavares Lima Trajano ◽  
Marco Aurélio dos Santos Silva ◽  
Larissa Alexsandra da Silva Neto Trajano
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Clinical Manifestations ◽  
Clinical Importance ◽  
Anatomical Variations ◽  
Left Hand ◽  
Compressive Neuropathy ◽  
Volar Aspect ◽  
Tunnel Syndrome ◽  
Median Artery

Knowledge of a persistent median artery, defined as an anatomical vascular variation, is of clinical importance because it can be an unusual etiology of carpal tunnel syndrome. This report describes the case of a 42-year-old female patient with acute pain and paresthesia involving the volar aspect of the first, second, and third fingers of the left hand. The clinical manifestations pointed to compressive neuropathy of the median nerve, and diagnostic imaging showed anatomical vascular variation. Details were collected through interviews with the patient, and photographic records of imaging exams were thoroughly analyzed. This case study shows the importance of the identification and knowledge about anatomical variations considering that under specific pathological conditions, they can be a cause of clinical syndromes. Such knowledge is also important in the field of surgery for the prevention of iatrogenic injuries.

scholarly journals Treatment and Rehabilitation for Ruptured Flexor Digitorum Profundus Tendon after Steroid Injection in Trigger Finger and Carpal Tunnel Syndrome

2020 ◽  
Vol 16 (3) ◽  
pp. 198-201
Author(s):  
Jinha Park ◽  
Si Young Roh
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Range Of Motion ◽  
Carpal Tunnel ◽  
Steroid Injection ◽  
Corticosteroid Injection ◽  
Trigger Finger ◽  
Flexor Digitorum Profundus ◽  
Tunnel Syndrome ◽  
Flexor Digitorum ◽  
Little Finger

The authors report cases of treatment and rehabilitation for flexor digitorum profundus (FDP) tendon rupture of the little finger in patients with history of steroid injection. In case 1, a 43-year-old man had been given two local corticosteroid injections on the palm over 8 weeks due to trigger finger of his left little finger. While doing chin-ups 1 week after the last injection, he experienced a painful snapping in his left little finger and lost flexion of the distal interphalangeal (DIP) joint. In case 2, a 49-year-old man had been diagnosed with ipsilateral carpal tunnel syndrome and was given local corticosteroid injection on the wrist. Two months after the injection the patient experienced sudden loss of flexion on the DIP joint of his left little finger while playing golf. During operation, an intratendinous rupture of the FDP tendon of the little finger was present and direct tendon repair was done in both patients. Continuous splint remolding was performed according to the range of motion. The range of motion was checked continuously at the ward and outpatient clinic every week. The final results of treatment were checked 6 months after surgery by the criteria developed by Strickland and Glogovac in 1980.

Carpal Tunnel Syndrome and Flexor Tendon Rupture in the Wrist with Asymptomatic Scapholunate Advanced Collapse: A Case Report

2018 ◽  
Vol 23 (04) ◽  
pp. 589-592
Author(s):  
Satoshi Kamihata ◽  
Takashi Oda ◽  
Takuro Wada
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Flexor Tendon ◽  
Carpal Tunnel Release ◽  
Flexor Digitorum Profundus ◽  
Flexor Tendon Rupture ◽  
Tunnel Syndrome ◽  
Palmaris Longus Tendon ◽  
Flexor Digitorum ◽  
Flexor Digitorum Profundus Tendon

We experienced a rare case of carpal tunnel syndrome and rupture of the flexor digitorum profundus tendon to the index finger with a scapholunate advanced collapse wrist. We speculated that the lunate that had extruded into the carpal tunnel compressed the median nerve and caused wear of the flexor tendon following neglected perilunate subluxation. Carpal tunnel release, opponensplasty by palmaris longus tendon transfer, and a bridge graft by a half-slip of the flexor carpi radialis tendon resulted in recovery of pinch function and improvement in numbness of the hand.

Carpal Tunnel Syndrome After Distal Release of the Flexor Digitorum Profundus and Subsequent Retraction of the Lumbrical Muscle into the Carpal Tunnel

1999 ◽  
Vol 24 (3) ◽  
pp. 303-304 ◽  
Author(s):  
D. IMRAN ◽  
L. C. BAINBRIDGE
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Flexor Digitorum Profundus ◽  
Traumatic Amputation ◽  
Tunnel Syndrome ◽  
Lumbrical Muscle ◽  
Flexor Digitorum

We present three patients who had traumatic amputation of a finger or fingers with subsequent retraction of the flexor digitorum profundus and lumbrical muscle leading to the development of carpal tunnel syndrome.

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