Acute Carpal Tunnel Syndrome: Is It Only Wrist Fractures? A Case Series Report and Literature Review
Introduction: Acute carpal tunnel syndrome (CTS) is a rare but serious condition requiring prompt diagnosis and intervention to prevent permanent neurological deficits. This case series presents our department’s experience in managing this condition, highlighting diagnostic challenges, treatment str...
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| Format: | Article |
| Language: | English |
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Indian Orthopaedic Research Group
2025-08-01
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| Series: | Journal of Orthopaedic Case Reports |
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| Online Access: | https://jocr.co.in/wp/2025/08/01/acute-carpal-tunnel-syndrome-is-it-only-wrist-fractures-a-case-series-report-and-literature-review/ |
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| _version_ | 1849239347769901056 |
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| author | Panos Christodoulou Donald Osarumwense Antonios Papadopoulos |
| author_facet | Panos Christodoulou Donald Osarumwense Antonios Papadopoulos |
| author_sort | Panos Christodoulou |
| collection | DOAJ |
| description | Introduction:
Acute carpal tunnel syndrome (CTS) is a rare but serious condition requiring prompt diagnosis and intervention to prevent permanent neurological deficits. This case series presents our department’s experience in managing this condition, highlighting diagnostic challenges, treatment strategies, and patient outcomes.
Materials & Methods:
This retrospective study analyses medical records of patients diagnosed with acute carpal tunnel syndrome from 2021 to 2023 within our coverage area. Information was extracted from medical records, including diagnostic codes and clinical assessments for all cases of acute carpal tunnel syndrome, diagnosed during the period from 2021 to 2023. Data analysed, include age, sex, medical history, symptoms, mechanism of injury, clinical features, imaging, management, and follow-up. Six native Scottish patients, aged 43 to 65, developed acute carpal tunnel syndrome due to various causes, including flexor sheath infection, wrist soft tissue injury, distal radius fractures (with and without plate fixation), and scaphoid fracture.
Discussion and Results:
Our case series highlights the heterogeneous presentation and aetiology of acute carpal tunnel syndrome, with causes ranging from trauma to infection. Early recognition remained challenging due to overlapping symptoms with other wrist pathologies. Surgical decompression was the mainstay of treatment, performed with variable urgency depending on clinical progression. Despite intervention outcomes were mixed. Some patients experienced full recovery while others had lingering symptoms.
Conclusion:
These findings underscore the importance of high clinical suspicion and prompt surgical intervention to optimise outcomes. |
| format | Article |
| id | doaj-art-0072777aa79541cd97fa2d3b4ee06a75 |
| institution | Kabale University |
| issn | 2250-0685 2321-3817 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Indian Orthopaedic Research Group |
| record_format | Article |
| series | Journal of Orthopaedic Case Reports |
| spelling | doaj-art-0072777aa79541cd97fa2d3b4ee06a752025-08-20T04:01:02ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852321-38172025-08-0115827527910.13107/jocr.2025.v15.i08.5968Acute Carpal Tunnel Syndrome: Is It Only Wrist Fractures? A Case Series Report and Literature ReviewPanos ChristodoulouDonald OsarumwenseAntonios PapadopoulosIntroduction: Acute carpal tunnel syndrome (CTS) is a rare but serious condition requiring prompt diagnosis and intervention to prevent permanent neurological deficits. This case series presents our department’s experience in managing this condition, highlighting diagnostic challenges, treatment strategies, and patient outcomes. Materials & Methods: This retrospective study analyses medical records of patients diagnosed with acute carpal tunnel syndrome from 2021 to 2023 within our coverage area. Information was extracted from medical records, including diagnostic codes and clinical assessments for all cases of acute carpal tunnel syndrome, diagnosed during the period from 2021 to 2023. Data analysed, include age, sex, medical history, symptoms, mechanism of injury, clinical features, imaging, management, and follow-up. Six native Scottish patients, aged 43 to 65, developed acute carpal tunnel syndrome due to various causes, including flexor sheath infection, wrist soft tissue injury, distal radius fractures (with and without plate fixation), and scaphoid fracture. Discussion and Results: Our case series highlights the heterogeneous presentation and aetiology of acute carpal tunnel syndrome, with causes ranging from trauma to infection. Early recognition remained challenging due to overlapping symptoms with other wrist pathologies. Surgical decompression was the mainstay of treatment, performed with variable urgency depending on clinical progression. Despite intervention outcomes were mixed. Some patients experienced full recovery while others had lingering symptoms. Conclusion: These findings underscore the importance of high clinical suspicion and prompt surgical intervention to optimise outcomes.https://jocr.co.in/wp/2025/08/01/acute-carpal-tunnel-syndrome-is-it-only-wrist-fractures-a-case-series-report-and-literature-review/acute carpal tunnel syndromediagnostic challengesdistal radius fracturecarpal tunnel decompressionneurological deficitslimited literature |
| spellingShingle | Panos Christodoulou Donald Osarumwense Antonios Papadopoulos Acute Carpal Tunnel Syndrome: Is It Only Wrist Fractures? A Case Series Report and Literature Review Journal of Orthopaedic Case Reports acute carpal tunnel syndrome diagnostic challenges distal radius fracture carpal tunnel decompression neurological deficits limited literature |
| title | Acute Carpal Tunnel Syndrome: Is It Only Wrist Fractures? A Case Series Report and Literature Review |
| title_full | Acute Carpal Tunnel Syndrome: Is It Only Wrist Fractures? A Case Series Report and Literature Review |
| title_fullStr | Acute Carpal Tunnel Syndrome: Is It Only Wrist Fractures? A Case Series Report and Literature Review |
| title_full_unstemmed | Acute Carpal Tunnel Syndrome: Is It Only Wrist Fractures? A Case Series Report and Literature Review |
| title_short | Acute Carpal Tunnel Syndrome: Is It Only Wrist Fractures? A Case Series Report and Literature Review |
| title_sort | acute carpal tunnel syndrome is it only wrist fractures a case series report and literature review |
| topic | acute carpal tunnel syndrome diagnostic challenges distal radius fracture carpal tunnel decompression neurological deficits limited literature |
| url | https://jocr.co.in/wp/2025/08/01/acute-carpal-tunnel-syndrome-is-it-only-wrist-fractures-a-case-series-report-and-literature-review/ |
| work_keys_str_mv | AT panoschristodoulou acutecarpaltunnelsyndromeisitonlywristfracturesacaseseriesreportandliteraturereview AT donaldosarumwense acutecarpaltunnelsyndromeisitonlywristfracturesacaseseriesreportandliteraturereview AT antoniospapadopoulos acutecarpaltunnelsyndromeisitonlywristfracturesacaseseriesreportandliteraturereview |