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Updated: Jul 3, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
04:08

Metacarpal Small Incision for Carpal Tunnel Syndrome

Published on: April 5, 2024

Tumorous calcification causing carpal tunnel syndrome.

J Namba1, T Murase, H Moritomo

  • 1Department of Orthopedic Surgery, Minoh City Hospital, Minoh-City, Osaka, Japan. bpdum202@tcct.zaq.ne.jp

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|July 19, 2008
PubMed
Summary

Solitary tumorous calcification can cause carpal tunnel syndrome. Surgical release of these calcifications, often composed of basic calcium phosphate, provides a treatment option.

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Last Updated: Jul 3, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
04:08

Metacarpal Small Incision for Carpal Tunnel Syndrome

Published on: April 5, 2024

Area of Science:

  • Orthopedics
  • Hand Surgery
  • Radiology

Background:

  • Carpal tunnel syndrome (CTS) is commonly caused by median nerve compression.
  • Solitary tumorous calcification as a cause of CTS is rarely documented in medical literature.

Purpose of the Study:

  • To describe the clinical experience with surgically treated cases of solitary tumorous calcification causing carpal tunnel syndrome.
  • To investigate the characteristics and composition of these calcified masses.

Main Methods:

  • A retrospective review of seven patients surgically treated for CTS due to tumorous calcification.
  • Analysis of preoperative radiographic findings, operative records, and histological and compositional analysis of removed calcifications.

Main Results:

  • Calcified masses were located anterior to the capitate bone within the carpal tunnel.
  • The calcified nodules measured between 10x10x10 mm and 18 mm, attached to the palmar radiocarpal extrinsic ligament.
  • Composition analysis revealed an average of 60% basic calcium phosphate; histology showed calcified deposits with fibrocartilaginous tissue in three cases.

Conclusions:

  • The findings suggest a reactive process, similar to calcifying tendinitis, may underlie tumorous calcification causing CTS.
  • Surgical intervention is a viable treatment for this rare cause of carpal tunnel syndrome.