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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(02): 347-350
DOI: 10.1055/s-0040-1714228
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Acute Carpal Tunnel Syndrome due to Persistent Median Artery thrombosis: Case report[*]

Article in several languages: português | English
Yussef Ali Abdouni 
1   Departamento de Ortopedia e Traumatologia, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brasil
,
João Pedro Farina Brunelli 
2   Grupo de Cirurgia da Mão, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brasil
,
Marco Antônio Soares Munia 
3   Departamento de Cirurgia Vascular, Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
› Author Affiliations Financial Support The authors declare that they have not received financial support from public, private, or non-profit sources for the conduction of the present study.
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Abstract

Carpal tunnel syndrome is the most common compressive neuropathy of the upper limb, affecting ∼ 4% of the general population. The clinical picture is characterized by pain and, mainly, paresthesia in the median nerve territory, of insidious onset and, in the most severe cases, loss of strength and atrophy of the thenar musculature is observed. It is an extremely common pathology in the daily practice of hand surgery, and in most cases, it can be treated with conservative methods. We present here an atypical case of carpal tunnel syndrome, of acute onset, triggered by persistent median artery (PMA) thrombosis, condition associated with distal embolization and hypoperfusion of the limb.

Keywords

carpal tunnel syndrome - thrombosis - arteries - compressive syndrome

* Work developed at the Department of Orthopedics and Traumatology, Irmandade of Santa Casa de Misericórdia of São Paulo, São Paulo, SP, Brazil.




Publication History

Received: 10 April 2020

Accepted: 05 May 2020

Article published online:
25 September 2020

© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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