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Bilateral atypical muscles causing acute bilateral carpal tunnel syndrome in recreational climber

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

The occurrence of anomalous muscles in the hand is rare, and therefore the clinician frequently does not account for their existence when reaching the diagnosis and concluding the cause of carpal tunnel syndrome. This case report describes the highly unusual case of the occurrence of bilateral flexor digitorum superficialis muscles in a recreational climber who developed CTS following his intensive training schedule.

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References

  1. Farmer JE, Davis TR (2008) Carpal tunnel syndrome: a case–control study evaluating its relationship with body mass index and hand and wrist measurements. J Hand Surg Eur 33:445–448. doi:10.1177/1753193408090142

    CAS  Google Scholar 

  2. Polykandriotis E, Premm W, Horch RE (2007) Carpal tunnel syndrome in young adults—an ultrasonographic and neurophysiological study. Minim Invasive Neurosurg 50:328–334. doi:10.1055/s-2007-993163

    Article  CAS  PubMed  Google Scholar 

  3. Geoghegan JM, Clark DI, Bainbridge LC et al (2004) Risk factors in carpal tunnel syndrome. J Hand Surg [Br] 29:315–320. doi:10.1016/j.jhsb.2004.02.009

    CAS  Google Scholar 

  4. Barnhart S, Demers PA, Miller M et al (1991) Carpal tunnel syndrome among ski manufacturing workers. Scand J Work Environ Health 17:46–52

    CAS  PubMed  Google Scholar 

  5. Roquelaure Y, Mechali S, Dano C et al (1997) Occupational and personal risk factors for carpal tunnel syndrome in industrial workers. Scand J Work Environ Health 23:364–369

    CAS  PubMed  Google Scholar 

  6. Silverstein BA, Fine LJ, Armstrong TJ (1987) Occupational factors and carpal tunnel syndrome. Am J Ind Med 11:343–358. doi:10.1002/ajim.4700110310

    Article  CAS  PubMed  Google Scholar 

  7. Muller LP, Rudig L, Degreif J, Rommens PM (2000) Endoscopic carpal tunnel release: results with special consideration to possible complications. Knee Surg Sports Traumatol Arthrosc 8:166–172. doi:10.1007/s001670050209

    Article  CAS  PubMed  Google Scholar 

  8. Namazi H, Majd Z (2007) Carpal tunnel syndrome in patients who are receiving long-term renal hemodialysis. Arch Orthop Trauma Surg 127:725–728. doi:10.1007/s00402-007-0350-7

    Article  PubMed  Google Scholar 

  9. Weidle PA, Brankamp J, Dedy N et al (2009) Complication of a closed colles-fracture: necrotising fasciitis with lethal outcome—a case report. Arch Orthop Trauma Surg 129:75–78. doi:10.1007/s00402-008-0748-x

    Article  PubMed  Google Scholar 

  10. Villamor A, Rios-Luna A, Villanueva-Martinez M et al (2008) Nonunion of distal radius fracture and distal radioulnar joint injury: a modified Sauve-Kapandji procedure with a cubitus proradius transposition as autograft. Arch Orthop Trauma Surg 128:1407–1411. doi:10.1007/s00402-008-0708-5

    Article  PubMed  Google Scholar 

  11. Smit RS, van der Velde D, Hegeman JH (2008) Augmented pin fixation with Cortoss for an unstable AO-A3 type distal radius fracture in a patient with a manifest osteoporosis. Arch Orthop Trauma Surg 128:989–993. doi:10.1007/s00402-008-0680-0

    Article  CAS  PubMed  Google Scholar 

  12. van Manen CJ, Dekker ML, van Eerten PV et al (2008) Bio-resorbable versus metal implants in wrist fractures: a randomised trial. Arch Orthop Trauma Surg 128:1413–1417. doi:10.1007/s00402-008-0573-2

    Article  PubMed  Google Scholar 

  13. van Eerten PV, Lindeboom R, Oosterkamp AE et al (2008) An X-ray template assessment for distal radial fractures. Arch Orthop Trauma Surg 128:217–221. doi:10.1007/s00402-007-0391-y

    Article  PubMed  Google Scholar 

  14. Zeiss J, Jakab E (1995) MR demonstration of an anomalous muscle in a patient with coexistent carpal and ulnar tunnel syndrome: case report and literature summary. Clin Imaging 19:102–105. doi:10.1016/0899-7071(94)00036-C

    Article  CAS  PubMed  Google Scholar 

  15. Ragoowansi R, Adeniran A, Moss AL (2002) Anomalous muscle of the wrist. Clin Anat 15:363–365. doi:10.1002/ca.10043

    Article  CAS  PubMed  Google Scholar 

  16. De Smet L (2002) Median and ulnar nerve compression at the wrist caused by anomalous muscles. Acta Orthop Belg 68:431–438

    PubMed  Google Scholar 

  17. Rooks MD, Johnston RB 3rd, Ensor CD et al (1995) Injury patterns in recreational rock climbers. Am J Sports Med 23:683–685. doi:10.1177/036354659502300608

    Article  CAS  PubMed  Google Scholar 

  18. Bain GI, Munt J, Turner PC (2008) New advances in wrist arthroscopy. Arthroscopy 24:355–367. doi:10.1016/j.arthro.2007.11.002

    Article  PubMed  Google Scholar 

  19. Chloros GD, Wiesler ER, Poehling GG (2008) Current concepts in wrist arthroscopy. Arthroscopy 24:343–354

    PubMed  Google Scholar 

  20. Cresswell TR, Heras-Palou C, Bradley MJ et al (2008) Long-term outcome after carpal tunnel decompression—a prospective randomised study of the Indiana Tome and a standard limited palmar incision. J Hand Surg Eur 33:332–336. doi:10.1177/1753193408090104

    CAS  Google Scholar 

  21. Schoffl V, Hochholzer T, Imhoff A (2004) Radiographic changes in the hands and fingers of young, high-level climbers. Am J Sports Med 32:1688–1694. doi:10.1177/0363546503262805

    Article  PubMed  Google Scholar 

  22. Ulrich D, Ulrich F, Schroeder M et al (2008) Lipofibromatous hamartoma of the median nerve in patients with macrodactyly: diagnosis and treatment of a rare disease causing carpal tunnel syndrome. Arch Orthop Trauma Surg [Epub ahead of print]

  23. Unglaub F, Wolf E, Goldbach C et al (2008) Subjective and functional outcome after revision surgery in carpal tunnel syndrome. Arch Orthop Trauma Surg 128:931–936. doi:10.1007/s00402-007-0451-3

    Article  PubMed  Google Scholar 

  24. Uysal M, Ozkoc G, Akpinar S et al (2007) Combined ulnar and carpal tunnel syndrome caused by pigmented villo-nodular tenosynovitis: a rare case. Arch Orthop Trauma Surg 127:563–565. doi:10.1007/s00402-007-0357-0

    Article  PubMed  Google Scholar 

  25. Kono H (2003) Acute carpal tunnel syndrome caused by anomalous muscle bellies: a case report. Hand Surg 8:141–143. doi:10.1142/S0218810403001601

    Article  PubMed  Google Scholar 

  26. Hayes CW Jr (1974) Anomalous flexor sublimis muscle with incipient carpal tunnel syndrome: case report. Plast Reconstr Surg 53:479–483. doi:10.1097/00006534-197404000-00024

    Article  PubMed  Google Scholar 

  27. Akuthota V, Plastaras C, Lindberg K et al (2005) The effect of long-distance bicycling on ulnar and median nerves: an electrophysiologic evaluation of cyclist palsy. Am J Sports Med 33:1224–1230. doi:10.1177/0363546505275131

    Article  PubMed  Google Scholar 

  28. Chloros GD, Papadonikolakis A, Themistocleous GS (2007) Correlation of high-resolution ultrasonographic findings with the clinical symptoms and electrodiagnostic data in carpal tunnel syndrome. Ann Plast Surg 59:351–352. doi:10.1097/SAP.0b013e3181453cc4

    Article  CAS  PubMed  Google Scholar 

  29. Inaparthy PK, Anwar F, Botchu R et al (2008) Compression of the deep branch of the ulnar nerve in Guyon’s canal by a ganglion: two cases. Arch Orthop Trauma Surg 128:641–643. doi:10.1007/s00402-008-0636-4

    Article  CAS  PubMed  Google Scholar 

  30. DiFiori JP (2006) Overuse injury and the young athlete: the case of chronic wrist pain in gymnasts. Curr Sports Med Rep 5:165–167

    PubMed  Google Scholar 

  31. Dillon JP, Laing A, Hussain M et al (2008) Improved tolerability of open carpal tunnel release under local anaesthetic: a patient satisfaction survey. Arch Orthop Trauma Surg 128:125–127. doi:10.1007/s00402-007-0460-2

    Article  PubMed  Google Scholar 

  32. Candal-Couto JJ, Sher JL (2007) The thenar motor branch during carpal tunnel decompression: the expert opinion. Arch Orthop Trauma Surg 127:431–434. doi:10.1007/s00402-007-0341-8

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Plastic and Hand Surgery, University of Erlangen, Krankenhausstrasse 12, 91054, Erlangen, Germany

    Frank Unglaub, Maya Barbara Wolf, Adrian Dragu & Raymund E. Horch

Authors
  1. Frank Unglaub
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  2. Maya Barbara Wolf
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  3. Adrian Dragu
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  4. Raymund E. Horch
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Corresponding author

Correspondence to Frank Unglaub.

Additional information

F. Unglaub and M. B. Wolf contributed equally.

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Unglaub, F., Wolf, M.B., Dragu, A. et al. Bilateral atypical muscles causing acute bilateral carpal tunnel syndrome in recreational climber. Arch Orthop Trauma Surg 130, 37–40 (2010). https://doi.org/10.1007/s00402-009-0826-8

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  • DOI: https://doi.org/10.1007/s00402-009-0826-8

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