Carpal tunnel syndrome

Case contributed by Dr Maulik S Patel

Presentation

Referred for the left wrist ultrasound with the clinical diagnosis of the left carpal tunnel syndrome.

Patient Data

Age: 70 years
Gender: Male
Ultrasound

There is edema of the median nerve just proximal to carpal tunnel. The cross-sectional area of the nerve is about 14 mm2. The nerve is compressed in the carpal tunnel which is seen in the image aligned to the long axis of the nerve. There is no mass lesion in the tunnel. There is no bifid median nerve / persistent median artery.

Photo

Intra-operative photograph after release of flexure retinaculum shows compressed nerve in the tunnel along with mild discoloration.

Case Discussion

An elderly male was referred for an ultrasound with a clinical diagnosis of the carpal tunnel syndrome. Ultrasound of wrist revealed median nerve compression in the tunnel and secondary finding of nerve edema. Intraoperative photo shows nerve compression in the tunnel.

Intraoperative photo courtesy of operating surgeon Dr. Vitrag Shah.

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Case information

rID: 63771
Published: 18th Oct 2018
Last edited: 21st Oct 2018
Inclusion in quiz mode: Included

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