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Bilateral carpal tunnel syndrome and multiple trigger fingers in a child with mucolipidosis Type III disease

Ahmadreza Afshar1

  • 1Department of Orthopaedics, Urmia University of Medical Sciences, Urmia, Iran.

Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India
|January 27, 2012
PubMed

Insights

This case report details a young girl with mucolipidosis Type III, who experienced bilateral carpal tunnel syndrome and multiple trigger fingers. Surgical intervention successfully treated these debilitating hand conditions.

Area of Science:

  • Pediatric Orthopedics
  • Rare Genetic Diseases
  • Hand Surgery

Background:

  • Mucolipidosis Type III (ML III) is a rare lysosomal storage disorder.
  • ML III can manifest with skeletal abnormalities and joint stiffness.
  • Musculoskeletal complications in ML III require specialized orthopedic management.

Observation:

  • A five-year-old female patient diagnosed with Mucolipidosis Type III.
  • Presented with bilateral carpal tunnel syndrome.
  • Exhibited eight trigger fingers, impacting hand function.

Findings:

  • Successful bilateral open carpal tunnel release was performed.
  • Trigger fingers were treated via A1 and A3 pulley release.
  • Resection of ulnar slips of flexor digitorum superficialis tendons was completed.

Implications:

  • Demonstrates effective surgical management for complex hand deformities in pediatric ML III.
  • Highlights the importance of addressing peripheral nerve compression and tendon issues in ML III patients.
  • Suggests potential for improved hand function and quality of life through targeted surgical interventions.

Keywords:
Carpal tunnel syndromelysosomal storage diseasemucolipidosis Type IIImucopolysaccharidosistrigger finger

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