Median Nerve Enterapment Secondary To Carpal Osteophyte: A Case Report

Abstract

Carpal tunnel syndrome secondary to space occupying lesion is a relatively rare condition. Median nerve compression secondary to carpal osteophyte is extremely rare. We report a case of carpal tunnel syndrome due to osteophytic bony projection in the carpal tunnel in a 54-year-old man with antecedent traumatic wrist injury before 20 years. To our knowledge, this is the second reported case. Complete excision of osteophyte resulted in complete relief of sensory symptoms.

Keywords

• Carpal tunnel syndrome
• carpal osteophyte
• Median Nerve
• Median Nerve Compression
• Carpal Canal
• Entrapment Neuropathy

References

1. Chiu, K.Y., Ng, W.F., Wong, W.B., Choi, C.H., Chow, S.P., 1992. Acute carpal tunnel syndrome caused by pseudogout. J. Hand Surg. 17, 299–302.
2. Coessens, B., De Mey, A., Lacotte, B., Vandenbroeck, D., 1991. Carpal tunnel syndrome due to an haemangioma of the median nerve in a 12-year-old child. Ann. Chir. Main. Memb. Super. 10, 255–257.
3. Cumming, D., Massraf, A., Jones, J.W., 2005. Extraskeletal chondroma as a cause of carpal tunnel syndrome. Hand Surg. 10, 327–330.
4. De, S.D, 1983. Carpal tunnel syndrome due to a calcareous mass in the carpal tunnel. Singapore Med. J. 24, 175–177.
5. Din, R., Giannikas, K., El-Hadidi, M., 2001. Acute calcifying tendonitis-an unusual cause of carpal tunnel syndrome. Eur. J. Emerg. Med. 8, 65-66.
6. Engel, J., Zinneman, H., Tsur, H., Farin, I., 1978. Carpal tunnel syndrome due to carpal osteophyte. Hand 10, 283-284.
7. Martinez, A., Peguero, A., Canales, V., Herrera, A., 2003. Carpal tunnel syndrome due to heterotopic ossification. J. Orthop. Sci. 8, 596–598.
8. Nakamichi, K., Tachibana, S., 1993. Unilateral carpal tunnel syndrome and space-occupying lesions. J. Hand Surg. 18, 748–749.

9. Nakamichi, K., Tachibana, S., Tamai, K., 1994. Carpal tunnel syndrome caused by a mass of calcium phosphate. J. Hand Surg. 19, 111–113.
10. Ogilvie, C., Kay, N.R., 1988. Fulminating carpal tunnel syndrome due to gout. J. Hand Surg. [Br]. 13, 42–43.
11. Sensui, K., Saitoh, S., Kametani, K., Makino, K., Ohira, M., Kimura, T., Cheng, G.A., Hata, Y., 2003. Property analysis of ectopic calcification in the carpal tunnel identification of apatite crystals: a case report. Arch. Orthop. Trauma Surg. 123, 442–445.
12. Takada, T., Fujioka, H., Mizuno, K., 2000. Carpal tunnel syndrome caused by an idiopathic calcified mass. Arch. Orthop. Trauma. Surg. 120, 226–227.
13. Wasman, J.K., Willis, J., Makley, J., Abdul-Karim, F.W., 1997. Myositis ossificans-like lesion of nerve. Histopathology. 30, 75–78.
14. Weiber, H., Linell, F., 1987. Tumoral calcinosis causing acute carpal tunnel syndrome. Case report. Scand. J. Plast. Reconstr. Surg. Hand Surg. 21, 229–230.
15. Weiss, A.P., Steichen, J.B., 1992. Synovial sarcoma causing carpal tunnel syndrome. J. Hand. Surg. 17, 1024–1025.