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Dahdouh R, Aouad D, Kiwan E, Sakhat G, Daher M, Kortbawi R, Wehbe J. Multiple Intraosseous Cysts of the Carpal Bones Presenting as Unilateral Carpal Tunnel Syndrome. Case Rep Orthop 2023; 2023:4110616. [PMID: 37265575 PMCID: PMC10232173 DOI: 10.1155/2023/4110616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Revised: 04/13/2023] [Accepted: 04/26/2023] [Indexed: 06/03/2023] Open
Abstract
Intraosseous ganglion cysts (IGC) of the carpal bones are frequently reported in the literature, involving at most two carpal bones of the same wrist. Only one case recently described the presence of multiple intraosseous ganglion lesions in the capitate, lunate, and triquetrum, resulting in chronic wrist pain. The following study reports the first case of multiple IGCs causing a unilateral carpal tunnel syndrome (CTS), in a 56-year-old woman, with no previous history of trauma. Failure of conservative management prompted carpal tunnel release and the surgical excision of the ICGs, followed by autologous bone grafting to fill in the defects. Consequently, IGCs must be considered in the differential diagnosis of unilateral CTS due to the expansile nature of the bone lesions.
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Affiliation(s)
- Raymonde Dahdouh
- Department of Orthopedic Surgery and Traumatology, Saint George Hospital University Medical Center, Balamand University, P.O. Box 166378, Achrafieh, Beirut 1100 2807, Lebanon
| | - Dany Aouad
- Department of Orthopedic Surgery and Traumatology, Saint George Hospital University Medical Center, Balamand University, P.O. Box 166378, Achrafieh, Beirut 1100 2807, Lebanon
| | - Elyssa Kiwan
- Department of Orthopedic Surgery and Traumatology, Saint George Hospital University Medical Center, Balamand University, P.O. Box 166378, Achrafieh, Beirut 1100 2807, Lebanon
| | - Georges Sakhat
- Department of Orthopedic Surgery and Traumatology, Saint George Hospital University Medical Center, Balamand University, P.O. Box 166378, Achrafieh, Beirut 1100 2807, Lebanon
| | - Mohammad Daher
- Faculty of Medicine, Saint-Joseph University, P.O. Box 17-5208, Mar Mikhael, Beirut, Lebanon
| | - Rabih Kortbawi
- Department of Orthopedic Surgery and Traumatology, Saint George Hospital University Medical Center, Balamand University, P.O. Box 166378, Achrafieh, Beirut 1100 2807, Lebanon
| | - Joseph Wehbe
- Department of Orthopedic Surgery and Traumatology, Saint George Hospital University Medical Center, Balamand University, P.O. Box 166378, Achrafieh, Beirut 1100 2807, Lebanon
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Carpal Tunnel Syndrome Caused by Tumoral Calcinosis. Case Rep Orthop 2015; 2015:170873. [PMID: 26266068 PMCID: PMC4523678 DOI: 10.1155/2015/170873] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2015] [Revised: 06/29/2015] [Accepted: 07/14/2015] [Indexed: 11/18/2022] Open
Abstract
We present a case of carpal tunnel syndrome caused by systemic tumoral calcinosis. A 54-year-old woman experienced hand numbness that persisted for nine months. She had no family history or medical problem. A plain radiograph of her right wrist showed a calcified mass on the volar side of the wrist joint. The patient also experienced pain in her contralateral wrist joint and both right and left shoulders, which had calcification on radiography around the joint. Her condition was diagnosed as carpal tunnel syndrome caused by systemic tumoral calcinosis and a resection biopsy was performed. Histopathological analysis of the biopsied specimen showed basophile deposition inside the fibrous connective tissue. At 14 months after the treatment, she no longer had pain or numbness in her fingers and there was no recurrence of the mass. This patient's condition is considered as a case of nonfamilial, systemic primary tumoral calcinosis. Since incomplete resection leads to a recurrence of the lesion, a follow-up radiography examination is needed to monitor symptom recurrence.
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