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Acute Carpal Tunnel Syndrome.
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:
- 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.
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