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Updated: Jun 18, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
The illusion of severe carpal tunnel syndrome (CTS)
Ludwig Gutmann1, Christopher Nance
1Robert C. Byrd Health Sciences Center, West Virginia University, Morgantown, WV, 26506-9180, USA.
Thenar atrophy occurs in patients with severe carpal tunnel syndrome (CTS) of long-standing duration. In this report we present a young woman with mild bilateral CTS, based on electrophysiological studies, in whom marked thenar atrophy was on a congenital basis related to the VATER association (vertebral anomalies, anal atresia, tracheoesophageal fistula, and radial or renal abnormalities).
Thenar atrophy occurs in patients with severe carpal tunnel syndrome (CTS) of long-standing duration. In this report we present a young woman with mild bilateral CTS, based on electrophysiological studies, in whom marked thenar atrophy was on a congenital basis related to the VATER association (vertebral anomalies, anal atresia, tracheoesophageal fistula, and radial or renal abnormalities).
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