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Related Experiment Video

Updated: Mar 17, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome

Metacarpal Small Incision for Carpal Tunnel Syndrome

Published on: April 5, 2024

Acute Carpal Tunnel Syndrome.

R A Lewis, O F Shea, K G Shea

The Physician and Sportsmedicine

|July 19, 2016

Summary

A rock climber experienced wrist pain and hand numbness, diagnosed as acute carpal tunnel syndrome. Conservative treatment, including rest and splinting, effectively resolved his symptoms.

Area of Science:

Orthopedics
Sports Medicine
Neurology

Background:

Repetitive wrist flexion during activities like rock climbing can precipitate nerve compression syndromes.
Acute carpal tunnel syndrome (CTS) presents with characteristic symptoms of numbness, tingling, and pain in the hand.

Purpose of the Study:

To report a case of acute carpal tunnel syndrome in a young athlete secondary to rock climbing.
To highlight the clinical presentation and effective conservative management of activity-induced CTS.

Main Methods:

A case report detailing the experience of a 25-year-old male rock climber.
Physical examination included specific provocative tests for carpal tunnel syndrome (Tinel's and Phalen's signs).

Main Results:

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The patient presented with a "pop" in his wrist, followed by transient numbness, tingling, and pain in the left hand, exacerbated by maximal wrist flexion.
Physical examination confirmed acute carpal tunnel syndrome via positive Tinel's and Phalen's signs.

Conclusions:

Rock climbing, particularly with maximal wrist flexion, can trigger acute carpal tunnel syndrome.
Conservative management, including rest, nocturnal splinting, and non-steroidal anti-inflammatory drugs (NSAIDs), proved effective for this patient's symptoms.