Iatrogenic Median Nerve Compression with a Silicone Rod: A Case Report and Review of the Literature

Abstract

The use of silicone rods for two-stage tendon reconstruction was described in the 1970s. Since that time, it has become the procedure of choice for delayed tendon reconstruction. Migration of the rod from its distal attachment can occur at any time; however, the risk is increased when there is a delay in progressing to the second stage. The author presents a case in which a silicone rod migrated to the carpal tunnel five years after a first-stage tendon reconstruction. An acute onset of median nerve neuropathy was the presenting symptom of rod migration. A thorough history, examination and recognition of the relationship between the background history and symptoms led to a prompt progression to surgery and a good overall outcome.