Ulnar Neuropathy at the Wrist in a Patient with Carpal Tunnel Syndrome after Open Carpal Tunnel Release.
10.5535/arm.2012.36.2.291
- Author:
Nack Hwan KIM
1
;
Dong Hwee KIM
Author Information
1. Department of Physical Medicine and Rehabilitation, College of Medicine, Korea University, Ansan 425-707, Korea. rmkdh@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Carpal tunnel syndrome;
Open carpal tunnel release;
Ulnar neuropathy
- MeSH:
Carpal Tunnel Syndrome;
Elbow;
Female;
Hand;
Humans;
Median Neuropathy;
Middle Aged;
Neural Conduction;
Sensation;
Ulnar Nerve;
Ulnar Neuropathies;
Wrist
- From:Annals of Rehabilitation Medicine
2012;36(2):291-296
- CountryRepublic of Korea
- Language:English
-
Abstract:
Ulnar neuropathy at the wrist is rarely reported as complications of carpal tunnel release. Since it can sometimes be confused with recurrent median neuropathy at the wrist or ulnar neuropathy at the elbow, an electrodiagnostic study is useful for detecting the lesion in detail. We present a case of a 51-year-old woman with a two-week history of right ulnar palm and 5th digit tingling sensation that began 3 months after open carpal tunnel release surgery of the right hand. Electrodiagnostic tests such as segmental nerve conduction studies of the ulnar nerve at the wrist were useful for localization of the lesion, and ultrasonography helped to confirm the presence of the lesion. After conservative management, patient symptoms were progressively relieved. Combined electrodiagnostic studies and ultrasonography may be helpful for diagnosing and detecting ulnar neuropathies of the wrist following carpal tunnel release surgery.
