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Muscle belly in the tunnel: an unusual cause of carpal tunnel syndrome in a patient with spinal cord injury.
Spinal Cord Series and Cases ( IF 0.7 ) Pub Date : 2019-06-03 , DOI: 10.1038/s41394-019-0201-0 Esra Giray 1 , Kardelen Gencer Atalay 1 , Sefa Kurt 1 , İlker Yağcı 1
Spinal Cord Series and Cases ( IF 0.7 ) Pub Date : 2019-06-03 , DOI: 10.1038/s41394-019-0201-0 Esra Giray 1 , Kardelen Gencer Atalay 1 , Sefa Kurt 1 , İlker Yağcı 1
Affiliation
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Introduction
Carpal tunnel syndrome, entrapment of median nerve at the wrist, is one of the most commonly encountered peripheral neuropathies in the upper extremity. It is also common in individuals with spinal cord injury due to repetitive movements during wheelchair use. Although it is well known that prevalence of carpal tunnel syndrome is high in individuals with spinal cord injury, no previous study identified aberrant muscle as the cause.
Case presentation
A 43-year-old man with T10 incomplete, ASIA Impairment Scale (AIS) C, patient with paraplegia who is a wheelchair basketball player presented to our electrodiagnostic laboratory with complaints of bilateral hand numbness after intensive training for a local veteran wheelchair basketball tournament. Nerve conduction studies showed carpal tunnel syndrome. Ultrasonographic assessment of carpal tunnel revealed the presence of abnormal muscle in the carpal tunnel encroaching the median nerve dynamically.
Discussion
It is important to identify the underlying cause of carpal tunnel syndrome, which is a common cause of upper extremity impairment in individuals with spinal cord injury because individuals with spinal cord injury who use wheelchair depend on their arms for mobility, transfers, and most activities of daily life.
中文翻译：
隧道中的肌腹：脊髓损伤患者腕管综合征的一个不寻常原因。
简介 腕管综合征（腕部正中神经卡压）是上肢最常见的周围神经病变之一。这种情况在因使用轮椅期间重复运动而导致脊髓损伤的个体中也很常见。尽管众所周知，脊髓损伤患者中腕管综合征的患病率很高，但之前的研究尚未发现异常肌肉是其原因。病例介绍 一名 43 岁男性，T10 不完全，亚洲损伤量表 (AIS) C，截瘫患者，是一名轮椅篮球运动员，在接受当地资深轮椅篮球强化训练后，主诉双侧手部麻木，就诊于我们的电诊断实验室比赛。神经传导研究显示腕管综合症。腕管超声评估显示腕管内存在异常肌肉，动态侵犯正中神经。讨论 确定腕管综合征的根本原因非常重要，腕管综合征是脊髓损伤患者上肢损伤的常见原因，因为使用轮椅的脊髓损伤患者依赖手臂进行活动、转移和大多数活动的日常生活。
更新日期：2019-11-18
中文翻译：
隧道中的肌腹：脊髓损伤患者腕管综合征的一个不寻常原因。
简介 腕管综合征（腕部正中神经卡压）是上肢最常见的周围神经病变之一。这种情况在因使用轮椅期间重复运动而导致脊髓损伤的个体中也很常见。尽管众所周知，脊髓损伤患者中腕管综合征的患病率很高，但之前的研究尚未发现异常肌肉是其原因。病例介绍 一名 43 岁男性，T10 不完全，亚洲损伤量表 (AIS) C，截瘫患者，是一名轮椅篮球运动员，在接受当地资深轮椅篮球强化训练后，主诉双侧手部麻木，就诊于我们的电诊断实验室比赛。神经传导研究显示腕管综合症。腕管超声评估显示腕管内存在异常肌肉，动态侵犯正中神经。讨论 确定腕管综合征的根本原因非常重要，腕管综合征是脊髓损伤患者上肢损伤的常见原因，因为使用轮椅的脊髓损伤患者依赖手臂进行活动、转移和大多数活动的日常生活。
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