Related Experiment Video
Updated: Jun 3, 2026
04:08
Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
[Ulcerative carpal tunnel syndrome]
Anita Kamondi1, Maria Jose Teixeira, Imre Szirmai
1Semmelweis Egyetem, Neurológiai Klinika, Klinikai Neurofiziológiai Laboratórium, Budapest. anita@neur.sote.hu
Ideggyogyaszati Szemle
|March 25, 2011
Summary
Severe carpal tunnel syndrome can cause finger mutilation. Early diagnosis through electrodiagnostic testing is crucial to prevent irreversible damage and improve patient quality of life.
Area of Science:
- Neurology
- Hand Surgery
Background:
- Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy.
- A rare, severe CTS manifestation involves digital ulceration, acral osteolysis, and phalangeal mutilation.
Observation:
- Three cases of this rare CTS variant are presented.
- Diagnostic challenges arise due to overlapping symptoms with dermatological and systemic conditions.
- Patients are often not referred for neurological or electrodiagnostic evaluation.
Findings:
- Electrodiagnostic findings in these severe CTS cases are discussed.
- The study highlights the importance of recognizing this specific CTS presentation.
Implications:
- Timely surgical decompression of the median nerve can prevent severe digital deformities.
- Early diagnosis and intervention significantly enhance patient quality of life.
- Increased awareness among clinicians may improve diagnostic rates for this rare CTS variant.
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