A Case Report of Congenital Carpal Tunnel Syndrome.
- Author:
Kyu Hoon LEE
1
;
Chi Moon HWANG
;
Min Seok KIM
;
Hee Sang KIM
;
Kyung Hoi AHN
Author Information
1. Department of Rehabilitation Medicine, Joong Moon College of Medicine.
- Publication Type:Case Report
- Keywords:
Congenital carpal tunnel syndrome;
Electrophysiologic examination
- MeSH:
Carpal Tunnel Syndrome*;
Child;
Diagnosis;
Hand;
Humans;
Metacarpal Bones;
Physical Examination
- From:Journal of the Korean Academy of Rehabilitation Medicine
1998;22(3):752-755
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To evaluate a child who presented bilateral hypoplasia of the thenar eminences and clumsy hands without sensory loss or nocturnal pain. METHOD: A careful history taking, physical examination, plain X-ray and electrophysiologic examination. RESULT: No familial history nor a systemic etiology were identified in this patient. Physical examination revealed a marked flattening of both thenar eminences and weakness of the abductor pollicis brevis and opponens pollicis of both hands. There was no sensory loss nor neurologic abnormality. X-rays of the hands showed thin both proximal end of the first metacarpals. The electrophysiologic examination showed electreical silence of both thenar eminences. History taking, physical examination, X-ray findings and electrophysiologic findings were all compatible with the Cavanagh syndrome. CONCLUSION: A careful history taking, physical examination and electrophysiologic examination are improtant for the diagnosis of congenital carpal tunnel syndrome.
