Carpal tunnel syndrome is uncommon in children and is associated with an underlying etiology in the majority of cases. The diagnosis of the condition in childhood is dependent on a high degree of clinical suspicion, careful clinical examination, and judicious use of confirmatory investigations. The authors report a novel cause of carpal tunnel syndrome in a child, and discuss the investigation and management strategies in childhood carpal tunnel syndrome.
Poilvache P. , Carlier A., Rombouts JJ, et al. Carpal tunnel syndrome in childhood: report of five new cases. J Pediatr Orthop. 1989;9:687-690.
2.
Van Meir N., De Smet L.Carpal tunnel syndrome in children. J Pediatr Orthop B. 2005;14:42-45.
3.
Yuen A., Dowling G., Johnstone B., et al. Carpal tunnel syndrome in children with mucopolysaccaridoses . J Child Neurol. 2007;22: 260-263.
4.
Ouvrier RA, Shield L.Focal lesions of peripheral nerves. In: Ouvrier RA, McLeod JG, Pollard JD, eds. Peripheral Neuropathy in Childhood. 2nd ed. London: Mac Keith Press; 1999: 257-258.
5.
Kerrigan JJ, Bertoni JM, Jaeger SHGanglion cysts and carpal tunnel syndrome. J Hand Surg Am . 1988;13:763-765.
6.
Zammarchi E. , Savelli A., Donati MA, Pasquini E.Self-mutilation in a patient with mucolipidosis III. Pediatr Neurol. 1994;11:68-70.
7.
Swoboda KJ, Engle EC, Scheindlin B., et al. Mutilating hand syndrome in an infant with familial carpal tunnel syndrome. Muscle Nerve. 1998;21:104-11.
8.
El Miedany Y. , Ashour S., Youssef S., et al. Clinical diagnosis of carpal tunnel syndrome: old tests, new concepts. Joint Bone Spine. 2008;75:451-457.
9.
Jones HRMononeuropathies. In: Jones HR, Bolton CF, Harper CM, eds. Pediatric Clinical Electromyography. Philadelphia, PA: Lippincott-Raven;1996:176-193.
10.
Chen P., Massengill A., Maklad N., Roder E.Nerve territory-oriented macrodactyly: unusual cause of carpal tunnel syndrome . J Ultrasound Med. 1996;15:661-664.
11.
Jablecki CK , Andary MT, Floeter MK, et al. Practice parameter: electrodiagnostic studies in carpal tunnel syndrome. Neurology. 2002;58:1589-1592.
12.
Visser LH, Smidt MH, Lee MLHigh-resolution sonography versus EMG in the diagnosis of carpal tunnel syndrome . J Neurol Neurosurg Psychiatry. 2008;79:63-67.
13.
Jarvik JG, Comstock BA, Heagert PA, et al. Magnetic resonance imaging compared with electrodiagnostic studies in patients with suspected carpal tunnel syndrome: predicting symptoms, function, and surgical benefit at 1 year. J Neurosurg. 2008;108:541-550.
14.
Coffey MJ, Rahman MF, Thirkannad M.Pediatric ganglion cysts of the hand and wrist: an epidemiologic analysis . Hand. 2008;3: 359-362.
15.
Gude W., Morelli M.Ganglion cysts of the wrist: pathophysiology, clinical picture, and management . Curr Rev Musculoskelet Med. 2008;1:205-211.