Bilateral Idiopathic Carpal Tunnel Syndrome in a 4-Year-Old Girl

Abstract

Carpal tunnel syndrome (CTS), the most common entrapment neuropathy in adulthood, is rare in childhood. The symptoms may differ to those in adults, or may be misinterpreted owing to children's difficulties in expressing themselves. Cases of idiopathic, bilateral CTS under the age of 5 are rare. A 4-year-old girl presented with pain in both hands and difficulty opening them in the morning. Bilateral severe CTS was determined at electroneuromyography (ENMG). Bilateral wrist splints were advised for both hands. Improvement in ENMG was seen at 2 weeks following conservative treatment.

Childhood focal compressive mononeuropathies during the COVID‐19 pandemic in Buenos Aires, Argentina

“…1 Focal mononeuropathies in children have been reported in the median, radial, ulnar, fibular, and sciatic nerves associated with metabolic or genetic disorders, bone abnormalities, tumors, vascular malformations, trauma, entrapment, and compression, or rarely idiopathic. 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 …”

“…Compressive lesions are the second most common cause of acute focal mononeuropathies in children after trauma, but etiologies vary 1 . Focal mononeuropathies in children have been reported in the median, radial, ulnar, fibular, and sciatic nerves associated with metabolic or genetic disorders, bone abnormalities, tumors, vascular malformations, trauma, entrapment, and compression, or rarely idiopathic 3‐17 …”

“…1 Focal mononeuropathies in children have been reported in the median, radial, ulnar, fibular, and sciatic nerves associated with metabolic or genetic disorders, bone abnormalities, tumors, vascular malformations, trauma, entrapment, and compression, or rarely idiopathic. [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] Leg crossing has been shown to be a predisposing factor for developing compressive fibular mononeuropathies. 1,14,18,19 Prolonged pressure on the elbow may also lead to compressive ulnar neuropathy at the site.…”