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[Carpal tunnel syndrome in children. Apropos of 4 personal cases]
P Brax1, O Destuynder, P Rigaud
1Service de Chirurgie Pédiatrique et Orthopédique, Centre Hospitalier Universitaire de Besançon.
Insights
Childhood Carpal Tunnel syndrome can stem from trauma or congenital anomalies. Early diagnosis and surgical intervention are crucial for managing these rare pediatric cases.
Area of Science:
- Orthopedics
- Pediatric Surgery
- Neurology
Background:
- Carpal Tunnel syndrome (CTS) is typically diagnosed in adults.
- Pediatric CTS is rare and often associated with specific underlying conditions.
Observation:
- Four pediatric cases of Carpal Tunnel syndrome are presented.
- Two cases were post-traumatic, involving hypertrophic callus and post-fracture nerve deficits.
- One case involved an anomalous muscle near the carpal tunnel, and another presented with Poland syndrome and Sprengel malformation.
Findings:
- Musculo-tendinous malformations, including anomalous muscles and congenital conditions, can cause Carpal Tunnel syndrome in children.
- Traumatic injuries can also lead to CTS in pediatric patients through callus formation or direct nerve damage.
Implications:
- Highlights the importance of considering congenital anomalies and trauma in the differential diagnosis of pediatric Carpal Tunnel syndrome.
- Suggests that surgical evaluation may be necessary for pediatric CTS, especially when associated with structural abnormalities.
- Emphasizes the need for further research into the specific etiologies and management of CTS in the pediatric population.
Abstract:
Four cases of Carpal Tunnel syndrome during childhood are reported. Two of them are post traumatic cases; for one child, the syndrome was caused by hypertrophic cal six months after trauma. The other child has been operated because of a median and ulnar nerve deficit syndrome, which appeared one month after fracture. In the third observation, the authors have seen an abnormal muscle just in front of annular anterior ligament of the carpus during surgery. This muscle was assimilated to hypertrophic Palmaris Brevis muscle. In the last observation, the adolescent had a Poland syndrome with Sprengel malformation. In this paper, the authors point out clinical particularities due to musculo-tendinous malformation which can lead to Carpal Tunnel syndrome.