J Korean Acad Rehabil Med.  1998 Jun;22(3):752-755.

A Case Report of Congenital Carpal Tunnel Syndrome

• Lee KH
• Hwang CM
• Kim MS
• Kim HS
• Ahn KH

Abstract

OBJECTIVE
To evaluate a child who presented bilateral hypoplasia of the thenar eminences and clumsy hands without sensory loss or nocturnal pain. METHOD: A careful history taking, physical examination, plain X-ray and electrophysiologic examination. RESULT: No familial history nor a systemic etiology were identified in this patient. Physical examination revealed a marked flattening of both thenar eminences and weakness of the abductor pollicis brevis and opponens pollicis of both hands. There was no sensory loss nor neurologic abnormality. X-rays of the hands showed thin both proximal end of the first metacarpals. The electrophysiologic examination showed electreical silence of both thenar eminences. History taking, physical examination, X-ray findings and electrophysiologic findings were all compatible with the Cavanagh syndrome.
CONCLUSION
A careful history taking, physical examination and electrophysiologic examination are improtant for the diagnosis of congenital carpal tunnel syndrome.

Keyword

Congenital carpal tunnel syndrome; Electrophysiologic examination

MeSH Terms

Carpal Tunnel Syndrome*
Child
Diagnosis
Hand
Humans
Metacarpal Bones
Physical Examination