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Journal of the Korean Academy of Rehabilitation Medicine 1998;22(3):752-755.
A Case Report of Congenital Carpal Tunnel Syndrome.
Lee, Kyu Hoon , Hwang, Chi Moon , Kim, Min Seok , Kim, Hee Sang , Ahn, Kyung Hoi
1Department of Rehabilitation Medicine, Joong Moon College of Medicine.
2Department of Rehabilitation Medicine, Kyung Hee University College of Medicine.
선천성 수근관 증후군 1례 보고
이규훈ㆍ황치문ㆍ김민석1ㆍ김희상1ㆍ안경회1
중문의대 재활의학과 및 1경희의대 재활의학과
Abstract

Objective
To evaluate a child who presented bilateral hypoplasia of the thenar eminences and clumsy hands without sensory loss or nocturnal pain.


Method
A careful history taking, physical examination, plain X-ray and electrophysiologic examination.

Result: No familial history nor a systemic etiology were identified in this patient. Physical examination revealed a marked flattening of both thenar eminences and weakness of the abductor pollicis brevis and opponens pollicis of both hands. There was no sensory loss nor neurologic abnormality. X-rays of the hands showed thin both proximal end of the first metacarpals. The electrophysiologic examination showed electreical silence of both thenar eminences. History taking, physical examination, X-ray findings and electrophysiologic findings were all compatible with the Cavanagh syndrome.


Conclusion
A careful history taking, physical examination and electrophysiologic examination are improtant for the diagnosis of congenital carpal tunnel syndrome.

Key Words: Congenital carpal tunnel syndrome, Electrophysiologic examination


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