Carpal Tunnel Syndrome in Children
Carpal tunnel syndrome rarely occurs in children. We retrospectively analyzed clinical data of 11 patients aged 5-17 diagnosed with carpal tunnel syndrome at a single pediatric neuromuscular center. Nerve conduction studies were performed according to the American Association of Electrodiagnostic Me...
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Veröffentlicht in: | Journal of child neurology 2014-02, Vol.29 (2), p.227-231 |
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creator | Potulska-Chromik, Anna Lipowska, Marta Gaweł, Małgorzata Ryniewicz, Barbara Maj, Edyta Kostera-Pruszczyk, Anna |
description | Carpal tunnel syndrome rarely occurs in children. We retrospectively analyzed clinical data of 11 patients aged 5-17 diagnosed with carpal tunnel syndrome at a single pediatric neuromuscular center. Nerve conduction studies were performed according to the American Association of Electrodiagnostic Medicine recommendations. Additional imaging tests of the wrist were performed in 10 patients. In our group of 11 children, carpal tunnel syndrome was idiopathic in only 1 case. In the remaining subjects, it was secondary to congenital bone anomaly (6), hypothyroidism (2), or myopathic contractures (1). In 1 case, metabolic workup revealed an underlying mucopolysaccharidosis. Our results confirm that idiopathic carpal tunnel syndrome is rare in children. Hand clumsiness and thenar hypoplasia rather than sensory complaints are the presenting symptoms. Whenever carpal tunnel syndrome is diagnosed in a child, a thorough differential diagnosis should be made because of the secondary nature of this disease in most pediatric patients. |
doi_str_mv | 10.1177/0883073813504458 |
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We retrospectively analyzed clinical data of 11 patients aged 5-17 diagnosed with carpal tunnel syndrome at a single pediatric neuromuscular center. Nerve conduction studies were performed according to the American Association of Electrodiagnostic Medicine recommendations. Additional imaging tests of the wrist were performed in 10 patients. In our group of 11 children, carpal tunnel syndrome was idiopathic in only 1 case. In the remaining subjects, it was secondary to congenital bone anomaly (6), hypothyroidism (2), or myopathic contractures (1). In 1 case, metabolic workup revealed an underlying mucopolysaccharidosis. Our results confirm that idiopathic carpal tunnel syndrome is rare in children. Hand clumsiness and thenar hypoplasia rather than sensory complaints are the presenting symptoms. Whenever carpal tunnel syndrome is diagnosed in a child, a thorough differential diagnosis should be made because of the secondary nature of this disease in most pediatric patients.</description><identifier>ISSN: 0883-0738</identifier><identifier>EISSN: 1708-8283</identifier><identifier>DOI: 10.1177/0883073813504458</identifier><identifier>PMID: 24084629</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adolescent ; Carpal Tunnel Syndrome - diagnosis ; Carpal Tunnel Syndrome - etiology ; Carpal Tunnel Syndrome - physiopathology ; Child ; Child, Preschool ; Diagnosis, Differential ; Electromyography ; Evoked Potentials, Motor ; Evoked Potentials, Somatosensory ; Female ; Forearm - abnormalities ; Forearm - physiopathology ; Humans ; Male ; Median Nerve - physiopathology ; Neural Conduction ; Retrospective Studies ; Ulnar Nerve - physiopathology ; Wrist - abnormalities ; Wrist - physiopathology</subject><ispartof>Journal of child neurology, 2014-02, Vol.29 (2), p.227-231</ispartof><rights>The Author(s) 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-fe80455d65b46ae922c0fdcecd470cf1ec8457c0621679184edace81eb1311c43</citedby><cites>FETCH-LOGICAL-c370t-fe80455d65b46ae922c0fdcecd470cf1ec8457c0621679184edace81eb1311c43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0883073813504458$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0883073813504458$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24084629$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Potulska-Chromik, Anna</creatorcontrib><creatorcontrib>Lipowska, Marta</creatorcontrib><creatorcontrib>Gaweł, Małgorzata</creatorcontrib><creatorcontrib>Ryniewicz, Barbara</creatorcontrib><creatorcontrib>Maj, Edyta</creatorcontrib><creatorcontrib>Kostera-Pruszczyk, Anna</creatorcontrib><title>Carpal Tunnel Syndrome in Children</title><title>Journal of child neurology</title><addtitle>J Child Neurol</addtitle><description>Carpal tunnel syndrome rarely occurs in children. We retrospectively analyzed clinical data of 11 patients aged 5-17 diagnosed with carpal tunnel syndrome at a single pediatric neuromuscular center. Nerve conduction studies were performed according to the American Association of Electrodiagnostic Medicine recommendations. Additional imaging tests of the wrist were performed in 10 patients. In our group of 11 children, carpal tunnel syndrome was idiopathic in only 1 case. In the remaining subjects, it was secondary to congenital bone anomaly (6), hypothyroidism (2), or myopathic contractures (1). In 1 case, metabolic workup revealed an underlying mucopolysaccharidosis. Our results confirm that idiopathic carpal tunnel syndrome is rare in children. Hand clumsiness and thenar hypoplasia rather than sensory complaints are the presenting symptoms. Whenever carpal tunnel syndrome is diagnosed in a child, a thorough differential diagnosis should be made because of the secondary nature of this disease in most pediatric patients.</description><subject>Adolescent</subject><subject>Carpal Tunnel Syndrome - diagnosis</subject><subject>Carpal Tunnel Syndrome - etiology</subject><subject>Carpal Tunnel Syndrome - physiopathology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diagnosis, Differential</subject><subject>Electromyography</subject><subject>Evoked Potentials, Motor</subject><subject>Evoked Potentials, Somatosensory</subject><subject>Female</subject><subject>Forearm - abnormalities</subject><subject>Forearm - physiopathology</subject><subject>Humans</subject><subject>Male</subject><subject>Median Nerve - physiopathology</subject><subject>Neural Conduction</subject><subject>Retrospective Studies</subject><subject>Ulnar Nerve - physiopathology</subject><subject>Wrist - abnormalities</subject><subject>Wrist - physiopathology</subject><issn>0883-0738</issn><issn>1708-8283</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkD1PwzAURS0EoqWwM6GIiSXwnuPELyOK-JIqMVDmyHVeIFXiFLsZ-u9JVWBAQmK6wz33DkeIc4RrRK1vgCgBnRAmKSiV0oGYogaKSVJyKKa7Ot71E3ESwgoAKM3hWEykAlKZzKfisjB-bdpoMTjHbfSydZXvO44aFxXvTVt5dqfiqDZt4LOvnInX-7tF8RjPnx-eitt5bBMNm7hmApWmVZYuVWY4l9JCXVm2ldJga2RLKtUWMomZzpEUV8YyIS8xQbQqmYmr_e_a9x8Dh03ZNcFy2xrH_RBKVHlGucZc_wcFLSVQNqKwR63vQ_Bcl2vfdMZvS4RyJ7H8LXGcXHy9D8uOq5_Bt7URiPdAMG9crvrBu1HM34efmfd2qQ</recordid><startdate>201402</startdate><enddate>201402</enddate><creator>Potulska-Chromik, Anna</creator><creator>Lipowska, Marta</creator><creator>Gaweł, Małgorzata</creator><creator>Ryniewicz, Barbara</creator><creator>Maj, Edyta</creator><creator>Kostera-Pruszczyk, Anna</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TK</scope></search><sort><creationdate>201402</creationdate><title>Carpal Tunnel Syndrome in Children</title><author>Potulska-Chromik, Anna ; Lipowska, Marta ; Gaweł, Małgorzata ; Ryniewicz, Barbara ; Maj, Edyta ; Kostera-Pruszczyk, Anna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-fe80455d65b46ae922c0fdcecd470cf1ec8457c0621679184edace81eb1311c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Carpal Tunnel Syndrome - diagnosis</topic><topic>Carpal Tunnel Syndrome - etiology</topic><topic>Carpal Tunnel Syndrome - physiopathology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Diagnosis, Differential</topic><topic>Electromyography</topic><topic>Evoked Potentials, Motor</topic><topic>Evoked Potentials, Somatosensory</topic><topic>Female</topic><topic>Forearm - abnormalities</topic><topic>Forearm - physiopathology</topic><topic>Humans</topic><topic>Male</topic><topic>Median Nerve - physiopathology</topic><topic>Neural Conduction</topic><topic>Retrospective Studies</topic><topic>Ulnar Nerve - physiopathology</topic><topic>Wrist - abnormalities</topic><topic>Wrist - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Potulska-Chromik, Anna</creatorcontrib><creatorcontrib>Lipowska, Marta</creatorcontrib><creatorcontrib>Gaweł, Małgorzata</creatorcontrib><creatorcontrib>Ryniewicz, Barbara</creatorcontrib><creatorcontrib>Maj, Edyta</creatorcontrib><creatorcontrib>Kostera-Pruszczyk, Anna</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><jtitle>Journal of child neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Potulska-Chromik, Anna</au><au>Lipowska, Marta</au><au>Gaweł, Małgorzata</au><au>Ryniewicz, Barbara</au><au>Maj, Edyta</au><au>Kostera-Pruszczyk, Anna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Carpal Tunnel Syndrome in Children</atitle><jtitle>Journal of child neurology</jtitle><addtitle>J Child Neurol</addtitle><date>2014-02</date><risdate>2014</risdate><volume>29</volume><issue>2</issue><spage>227</spage><epage>231</epage><pages>227-231</pages><issn>0883-0738</issn><eissn>1708-8283</eissn><abstract>Carpal tunnel syndrome rarely occurs in children. We retrospectively analyzed clinical data of 11 patients aged 5-17 diagnosed with carpal tunnel syndrome at a single pediatric neuromuscular center. Nerve conduction studies were performed according to the American Association of Electrodiagnostic Medicine recommendations. Additional imaging tests of the wrist were performed in 10 patients. In our group of 11 children, carpal tunnel syndrome was idiopathic in only 1 case. In the remaining subjects, it was secondary to congenital bone anomaly (6), hypothyroidism (2), or myopathic contractures (1). In 1 case, metabolic workup revealed an underlying mucopolysaccharidosis. Our results confirm that idiopathic carpal tunnel syndrome is rare in children. Hand clumsiness and thenar hypoplasia rather than sensory complaints are the presenting symptoms. Whenever carpal tunnel syndrome is diagnosed in a child, a thorough differential diagnosis should be made because of the secondary nature of this disease in most pediatric patients.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>24084629</pmid><doi>10.1177/0883073813504458</doi><tpages>5</tpages></addata></record> |
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subjects | Adolescent Carpal Tunnel Syndrome - diagnosis Carpal Tunnel Syndrome - etiology Carpal Tunnel Syndrome - physiopathology Child Child, Preschool Diagnosis, Differential Electromyography Evoked Potentials, Motor Evoked Potentials, Somatosensory Female Forearm - abnormalities Forearm - physiopathology Humans Male Median Nerve - physiopathology Neural Conduction Retrospective Studies Ulnar Nerve - physiopathology Wrist - abnormalities Wrist - physiopathology |
title | Carpal Tunnel Syndrome in Children |
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