Volar fracture dislocation of the 2nd metacarpal base associated with acute carpal tunnel syndrome: A case report
| Autor: | H. Remy, S. Piereschi, O. Camuzard |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Joint Dislocations 030230 surgery Wrist 03 medical and health sciences Fractures Bone Young Adult 0302 clinical medicine Metacarpal fracture medicine Humans Carpal tunnel Carpal tunnel syndrome business.industry Fracture Dislocation Metacarpal Bones medicine.disease Carpal Tunnel Syndrome Median nerve Surgery medicine.anatomical_structure Fracture (geology) Median nerve compression Complication business |
| Zdroj: | Annales de chirurgie plastique et esthetique. 66(2) |
| ISSN: | 1768-319X |
| Popis: | Summary Posttraumatic acute carpal tunnel syndrome is a not a usual complication in traumatic hand injuries but requires more urgent and aggressive management. Compression of the median nerve should be systematically sought when there is a major and painful swelling of the hand, associated with one or several hand and wrist fractures. In rare case, a single metacarpal fracture or dislocation can be the only cause of median nerve compression and requires urgent diagnosis. If missed or neglected irreversible damage could occur to the median nerve. If surgery is perform in a timely manner outcomes are excellent, with complete recovery in most of the cases. We present the case of a 24-year-old man with an acute compression of the median nerve due to an intra-articular fracture of the 2nd metacarpal base. A bony fragment shifting from the base of 2nd metacarpal was found in the carpal tunnel participating, at least in part, in the compression of the median nerve. |
| Databáze: | OpenAIRE |
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