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Related Experiment Videos

Triggering in the mucopolysaccharidoses

F S Haddad1, R A Hill, D H Jones

  • 1Department of Orthopaedics, Hospital for Sick Children, London, United Kingdom.

Journal of Pediatric Orthopedics. Part B
|May 23, 1998
PubMed
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Mucopolysaccharidoses and mucolipidoses cause upper limb dysfunction, including carpal tunnel syndrome. Surgical intervention for triggering at the carpal tunnel in these patients showed favorable outcomes, improving hand function.

Area of Science:

  • Orthopedics
  • Genetics
  • Neurology

Background:

  • Mucopolysaccharidoses (MPS) and mucolipidoses (ML) are genetic disorders causing skeletal dysplasia and upper limb dysfunction.
  • Median nerve dysfunction, including triggering and carpal tunnel syndrome, is a known complication in MPS and ML patients.
  • Improved survival due to bone marrow transplantation highlights the need to address persistent musculoskeletal issues.

Purpose of the Study:

  • To investigate triggering at the carpal tunnel in patients with mucopolysaccharidoses and mucolipidoses.
  • To evaluate the efficacy of surgical intervention for carpal tunnel syndrome in this patient population.

Main Methods:

  • Case report of two patients with triggering at the A1 pulley and distally.
  • Identification of four additional patients with triggering at the carpal tunnel and carpal tunnel syndrome.

Related Experiment Videos

  • Surgical intervention for five of the six affected patients.
  • Main Results:

    • Triggering at the carpal tunnel was observed in association with carpal tunnel syndrome in MPS/ML patients.
    • Surgical intervention in five patients resulted in favorable outcomes.
    • The study highlights a significant upper limb manifestation in MPS and ML.

    Conclusions:

    • Carpal tunnel syndrome and triggering are significant upper limb issues in mucopolysaccharidoses and mucolipidoses.
    • Surgical treatment for carpal tunnel syndrome offers positive results in these patients.
    • Addressing musculoskeletal complications is crucial for improving quality of life in MPS/ML survivors.