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COMBINED TRIGGERING AT THE WRIST AND FINGERS AND SEVERE CARPAL TUNNEL SYNDROME CAUSED BY MACRODYSTROPHIA LIPOMATOSA. CASE REPORT AND REVIEW OF LITERATURE.
MedLine Citation:
PMID:  24188319     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Macrodystrophia lipomatosa (MDL) is a rare, congenital, developmental anomaly causing localized overgrowth of a digit(s) or extremity. Trigger wrist is a relatively rare entity, which may be caused by a mass originating from a tendon, an anomalous muscle or intracarpal pathologies. A 42-year-old male patient presented with triggering during active motion of the fingers and intractable pain and numbness in fingers to our emergency department. He had hypertrophy of the entire right upper extremity and his huge thumb was amputated due to MDL four years ago. The index finger was bigger than the other fingers and thenar eminence area of the hand looked like a large mass. Resection of hypertrophic carpal bone and debulking of large soft tissue mass removed the carpal tunnel symptoms and limited the range of motion of the wrist and fingers. This is a case report of triggering at the wrist and severe carpal tunnel syndrome due to carpal bone enlargement and lipofibromatous hamartoma (LH) of the median nerve in a patient with MDL. Keywords: triggering wrist; macrodactyly; macrodystrophia lipomatosa; carpal tunnel syndrome.
Authors:
A K Yesilada; K Z Sevim; D O Sucu; D Dagdelen; D Sakiz; M Basak
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Acta chirurgiae plasticae     Volume:  55     ISSN:  0001-5423     ISO Abbreviation:  Acta Chir Plast     Publication Date:  2013  
Date Detail:
Created Date:  2013-11-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370301     Medline TA:  Acta Chir Plast     Country:  -    
Other Details:
Languages:  ENG     Pagination:  23-25     Citation Subset:  -    
Vernacular Title:
Kombinace lupavého zápěstí a prstů a těžkého syndromu karpálního tunelu způsobená lipomatózní makrodystrofií. Kazuistika a přehled literatury.
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