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Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies
Published on: January 11, 2019
Acute carpal tunnel syndrome: a case report
1Louisville Hand Surgery, Kentucky.
Journal of Hand Surgery (Edinburgh, Scotland)
|November 1, 1988
Summary
Intensive repetitive wrist use can cause acute carpal tunnel syndrome (CTS). This case highlights a rapid onset of CTS symptoms following brief, high-intensity activity.
Area of Science:
- Orthopedic Surgery
- Neurology
- Occupational Medicine
Background:
- Carpal tunnel syndrome (CTS) is a common condition caused by median nerve compression.
- Repetitive hand and wrist motions are known risk factors for developing CTS.
- The typical onset of CTS is gradual, often developing over months or years.
Observation:
- A 53-year-old female presented with acute symptoms of carpal tunnel syndrome.
- The patient reported intensive, repetitive use of her left wrist for two consecutive days.
- Symptoms developed rapidly following this period of high-demand activity.
Findings:
- The case demonstrates a rapid, acute development of carpal tunnel syndrome.
- This suggests that even short periods of intensive repetitive wrist use can trigger acute CTS.
- The median nerve was likely compressed due to inflammation or swelling from overuse.
Implications:
- Clinicians should consider acute CTS in patients presenting with sudden onset wrist pain and numbness, especially after intense activity.
- This case underscores the importance of ergonomic assessment and activity modification to prevent work-related upper limb disorders.
- Further research may explore the threshold of repetitive activity that can precipitate acute CTS in susceptible individuals.

