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Updated: Jul 13, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
Carpal tunnel syndrome in children with mucopolysaccaridoses
Alex Yuen1, Guy Dowling, Bruce Johnstone
1Melbourne Pediatric Hand Centre, Royal Children's Hospital, Melbourne, Victoria, Australia.
Insights
Carpal tunnel syndrome in children is rare, often caused by mucopolysaccharidosis. Early diagnosis and treatment are crucial for better outcomes in these patients.
Area of Science:
- Pediatric Orthopedics
- Genetics
- Neurology
Background:
- Carpal tunnel syndrome (CTS) is infrequently diagnosed in pediatric populations.
- Mucopolysaccharidosis (MPS) represents the predominant etiology for CTS in children.
- Advancements in MPS therapies have improved patient prognoses, highlighting the significance of associated musculoskeletal complications like CTS.
Purpose of the Study:
- To underscore the importance of early CTS diagnosis and management in children with MPS.
- To present the authors' clinical experience in managing pediatric patients with co-occurring MPS and CTS.
Main Methods:
- Retrospective case series analysis.
- Review of clinical data, diagnostic findings, and treatment outcomes.
- Focus on surgical and non-surgical management strategies for CTS in the context of MPS.
Main Results:
- Children with MPS presenting with CTS require timely intervention.
- Effective management of CTS can significantly improve functional outcomes.
- The authors' experience demonstrates the feasibility and benefits of tailored treatment approaches.
Conclusions:
- Early recognition and intervention for carpal tunnel syndrome in children with mucopolysaccharidosis are essential.
- Improved prognoses for MPS necessitate increased attention to its musculoskeletal manifestations, including CTS.
- Aggressive management of CTS in this cohort can lead to favorable long-term results.
Abstract:
Carpal tunnel syndrome in children is uncommon. Mucopolysaccharidosis is the most common cause of carpal tunnel syndrome in this age group. With new treatment modalities available for mucopolysaccaridoses, the prognosis of the disease has greatly improved. The musculoskeletal manifestations including carpal tunnel syndrome now assume more importance. Early diagnosis and treatment of carpal tunnel syndrome in these children are important to achieve a good outcome. The authors present their experience in the management of children with mucopolysaccharidosis and carpal tunnel syndrome.
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