Carpal Tunnel Syndrome in Children With Mucopolysaccaridoses

Abstract

Carpal tunnel syndrome in children is uncommon. Mucopolysaccharidosis is the most common cause of carpal tunnel syndrome in this age group. With new treatment modalities available for mucopolysaccaridoses, the prognosis of the disease has greatly improved. The musculoskeletal manifestations including carpal tunnel syndrome now assume more importance. Early diagnosis and treatment of carpal tunnel syndrome in these children are important to achieve a good outcome. The authors present their experience in the management of children with mucopolysaccharidosis and carpal tunnel syndrome.

Keywords

carpal tunnel syndrome mucopolysaccaridoses

Get full access to this article

View all access options for this article.

References

Al-Qatan MM , Thomson HG , Clarke HM Carpal tunnel syndrome in children and adolescents with no history of trauma . J Hand Surg [Br]. 1996;21B:108-111.

Wraith JE , Alani SM Carpal tunnel syndrome in the mucopolysaccharidoses and related disorders . Arch Dis Child. 1990;65: 962-963.

Gschwind C. , Tonkin MA Carpal tunnel syndrome in children with mucopolysaccharidosis and related disorders. J Hand Surg [Am]. 1992;17(1):44-47.

Van Heest AE , House J. , Krivit W. , Walker K. Surgical treatment of carpal tunnel syndrome and trigger digits in children with mucopolysaccharide storage disorders. J Hand Surg [Am]. 1998;23:236-243.

Haddad FS , Jones DH , Vellodi A. , et al. Carpal tunnel syndrome in the mucopolysaccharidoses and mucolipidoses . J Bone Joint Surg Br. 1997;79B:576-582.

Borisch N. , Haussmann P. Neurophysiological recovery after open carpal tunnel decompression: comparison of simple decompression and decompression with epineurotomy. J Hand Surg [Br]. 2003;28:450-454.

Blair WF , Goetz DD , Ross MA , et al. Carpal tunnel release with and without epineurotomy: a comparative prospective trial. J Hand Surg [Am]. 1996 ;21:655-661.

Fischer RC , Horner RL , Wood VE The hand in mucopolysaccharide disorders. Clin Orthop. 1974;104:191-199.

Whitney CB , Belani KG , Chang PN , et al. Long-term outcome of Hurler syndrome following bone marrow transplantation . Am J Med Genet. 1993;46:209-218.

10.

Walker RW , Darowski M. , Morris P. , Wraith E. Anaesthesia and mucopolysaccharidoses: a review of airway problems in children . Anaesthesia. 1994;49:1078-1084.