Unusual causes of carpal tunnel syndrome: Space occupying lesions

C. H. Chen, T. Wu, J. S. Sun, W. H. Lin, C. Y. Chen

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Space occupying lesions found at surgery caused or contributed to carpal tunnel syndrome in 23 of 779 patients operated for carpal tunnel syndrome from January 1999 to December 2008. The mean age of these 23 patients was 52.9 years, and in patients who had a local swelling or palpable mass, ultrasonography or magnetic resonance imaging (MRI) was done. All had open release of the transverse carpal ligament and lesions were removed. Histopathology showed tophaceous gout in 10 men, tenosynovitis in seven patients and tumors in eight. The tumors included ganglion cysts in two, lipoma in three and fibroma of the tendon sheath in one. The neurological symptoms subsided after surgery in all. In patients with gout, one had an infected wound and another had recurrence of symptoms 1 year after later. Carpal tunnel syndrome caused by a space occupying lesion is rare and more complicated than idiopathic carpal tunnel syndrome.

Original languageEnglish
Pages (from-to)14-19
Number of pages6
JournalJournal of Hand Surgery: European Volume
Volume37
Issue number1
DOIs
Publication statusPublished - Jan 2012

Fingerprint

Carpal Tunnel Syndrome
Gout
Ganglion Cysts
Tenosynovitis
Fibroma
Lipoma
Wrist
Ligaments
Tendons
Ultrasonography
Neoplasms
Magnetic Resonance Imaging
Recurrence
Wounds and Injuries

Keywords

  • Carpal tunnel syndrome
  • Gout
  • Tenosynovitis
  • Tumors

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

Cite this

Unusual causes of carpal tunnel syndrome : Space occupying lesions. / Chen, C. H.; Wu, T.; Sun, J. S.; Lin, W. H.; Chen, C. Y.

In: Journal of Hand Surgery: European Volume, Vol. 37, No. 1, 01.2012, p. 14-19.

Research output: Contribution to journalArticle

Chen, C. H. ; Wu, T. ; Sun, J. S. ; Lin, W. H. ; Chen, C. Y. / Unusual causes of carpal tunnel syndrome : Space occupying lesions. In: Journal of Hand Surgery: European Volume. 2012 ; Vol. 37, No. 1. pp. 14-19.
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