RESEARCH ARTICLE


Atypical Carpal Tunnel Syndrome in a Holt Oram Patient: A Case Report and Literature Review



James Mace*, Srikanth Reddy, Randeep Mohil
Department of Trauma and Orthopaedics, Royal Blackburn Hospital, East Lancashire Hospitals NHS Trust, Haslingden Road, Blackburn, Lancashire, BB2 3HH, UK


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© Mace et al.; Licensee Bentham Open.

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.

* Address correspondence to this author at the Department of Trauma and Orthopaedics, Royal Blackburn Hospital, East Lancashire Hospitals NHS Trust, Haslingden Road, Blackburn, Lancashire, BB2 3HH, UK; Tel: 07795 081623; E-mail: jamesmace100@gmail.com


Abstract

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.

Keywords: Carpal tunnel syndrome, congenital hand deformity, holt oram syndrome, median nerve variation, radial deficiency, thumb hypoplasia.