Atypical Carpal Tunnel Syndrome in a Holt Oram Patient: A Case Report and Literature Review
James Mace*, Srikanth Reddy, Randeep Mohil
Identifiers and Pagination:Year: 2014
First Page: 462
Last Page: 465
Publisher Id: TOORTHJ-8-462
Article History:Received Date: 28/8/2014
Revision Received Date: 16/11/2014
Acceptance Date: 23/11/2014
Electronic publication date: 29 /12/2014
Collection year: 2014
open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
We present a case report of a patient diagnosed with Holt-Oram syndrome (HOS) presenting with clinical and electrophysiologically confirmed carpal tunnel syndrome. Pre-operative Magnetic resonance imaging revealed an abnormal course of the median nerve; as such an atypical incision and approach were carried out to decompress the nerve to excellent post operative clinical effect. To our knowledge this is the first description of abnormal nervous course in a patient with HOS leading to peripheral entrapment. A literature surrounding the important aspects of HOS to the orthopaedic surgeon is presented concomitantly.