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Updated: Aug 17, 2026

Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies
Published on: January 11, 2019
[Bilateral carpal tunnel syndrome with familial accumulation]
1Universitätsklinik für Chirurgie, Abteilung für Wiederherstellende und Plastische Chirurgie, AKH Wien. veith.moser@meduniwien.ac.at
Insights
A six-year-old girl experienced bilateral carpal tunnel syndrome (CTS) with a family history. Surgical decompression successfully resolved her symptoms after conservative treatments failed.
Area of Science:
- Neurology
- Orthopedics
- Genetics
Background:
- Carpal tunnel syndrome (CTS) is a common condition, but familial aggregation is less frequently reported.
- Understanding genetic predispositions for CTS is crucial for early diagnosis and management.
Observation:
- A pediatric case of bilateral carpal tunnel syndrome was observed in a six-year-old girl.
- The patient's family history revealed multiple members, including parents and a grandmother, with surgically treated CTS.
Findings:
- Conservative management, including plaster casting, was unsuccessful in alleviating the girl's CTS symptoms.
- A two-stage open carpal tunnel release procedure was performed, leading to significant symptom improvement.
- Complete resolution of CTS symptoms was achieved six months post-surgery.
Implications:
- This case highlights the potential for familial inheritance of carpal tunnel syndrome, even in pediatric populations.
- Early surgical intervention may be effective for pediatric CTS when conservative measures fail.
- Further research into the genetic basis of CTS could inform familial screening and preventative strategies.
Abstract:
We report on a six-year-old girl with bilateral carpal tunnel syndrome with familial accumulation. Parents and one grandmother had positive history for CTS, treated by surgical decompression. Following neurologic and radiologic evaluation and after failed conservative treatment in a plaster cast, open carpal tunnel release was performed in a two-stage procedure. Postoperatively symptoms diminished and now six months after surgery, all complaints disappeared completely.
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