Delayed ulnar neuropathy at the wrist following open carpal tunnel release
Matthew J. Pingree, E. Peter Bosch, Patrick Liu, Benn E. Smith
Abstract
Matthew J. Pingree, E. Peter Bosch, Patrick Liu, Benn E. Smith
Abstract
Open carpal tunnel release is a common and successful treatment of median neuropathy at the wrist (carpal tunnel syndrome). We report a case of delayed ulnar neuropathy at the wrist with onset 2 months after open carpal tunnel release. Clinical findings, electrophysiological studies, magnetic resonance imaging, and surgical exploration demonstrated ulnar nerve compression at Guyon's canal resulting from translocation of the carpal tunnel contents. To our knowledge, this is an unreported complication of open carpal tunnel release that merits wide appreciation.
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Open carpal tunnel release is a common and successful treatment of median neuropathy at the wrist (carpal tunnel syndrome). We report a case of delayed ulnar neuropathy at the wrist with onset 2 months after open carpal tunnel release. Clinical findings, electrophysiological studies, magnetic resonance imaging, and surgical exploration demonstrated ulnar nerve compression at Guyon's canal resulting from translocation of the carpal tunnel contents. To our knowledge, this is an unreported complication of open carpal tunnel release that merits wide appreciation.
Key concepts: Carpal tunnel syndrome, Wrist, Medicine, Carpal tunnel release, Carpal tunnel, Ulnar nerve, Ulnar neuropathy, Median nerve