Carpal tunnel syndrome after an electrical injury

A case report and review of literature

Yi Sin Wong, Cheung Ter Ong, Yi Ying Hsieh, Tuey Wen Hung, How-Ran Guo

Research output: Contribution to journalArticle

Abstract

Introduction: Carpal tunnel syndrome (CTS) is prevalent in workers who utilize hand-held vibration tools, engage in tasks involving repetitive wrist movements, and suffer from wrist overuse. Although electrical injuries involving the median nerve are a relatively rare but plausible cause of CTS, the related literature is limited. Here, we report a case of CTS in which the symptoms developed after an electrical injury, and review the related literature. Case summary: The patient was a right-handed male electrician who often used hand tools but had no symptoms of CTS before the injury, with the left hand as the point of entry. Typical symptoms of CTS manifested after the electrical injury, and a nerve conduction velocity test confirmed the presence of severe CTS in the left hand. Therefore, we believe that the symptoms can be largely attributed to the electrical injury. Conclusions: The available literature supports the occurrence of delayed compressive neuropathy caused by scarring from substantial cutaneous burns in patients with electrical injuries. This case shows that electrical injuries may cause CTS in the absence of severe scarring through other mechanisms such as direct injuries to the nerve. Therefore, patients with electrical burns should be routinely examined for peripheral nerve compression symptoms in follow-ups, even when there are minimal cutaneous burns.

Original languageEnglish
Pages (from-to)320-323
Number of pages4
JournalJournal of Occupational Health
Volume60
Issue number4
DOIs
Publication statusPublished - 2018 Jan 1

Fingerprint

Carpal Tunnel Syndrome
Wounds and Injuries
Hand
Burns
Wrist
Cicatrix
Skin
Median Nerve
Neural Conduction
Vibration
Peripheral Nerves

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Cite this

Wong, Yi Sin ; Ong, Cheung Ter ; Hsieh, Yi Ying ; Hung, Tuey Wen ; Guo, How-Ran. / Carpal tunnel syndrome after an electrical injury : A case report and review of literature. In: Journal of Occupational Health. 2018 ; Vol. 60, No. 4. pp. 320-323.
@article{a1fa440909a64c89964943a4b1eb698e,
title = "Carpal tunnel syndrome after an electrical injury: A case report and review of literature",
abstract = "Introduction: Carpal tunnel syndrome (CTS) is prevalent in workers who utilize hand-held vibration tools, engage in tasks involving repetitive wrist movements, and suffer from wrist overuse. Although electrical injuries involving the median nerve are a relatively rare but plausible cause of CTS, the related literature is limited. Here, we report a case of CTS in which the symptoms developed after an electrical injury, and review the related literature. Case summary: The patient was a right-handed male electrician who often used hand tools but had no symptoms of CTS before the injury, with the left hand as the point of entry. Typical symptoms of CTS manifested after the electrical injury, and a nerve conduction velocity test confirmed the presence of severe CTS in the left hand. Therefore, we believe that the symptoms can be largely attributed to the electrical injury. Conclusions: The available literature supports the occurrence of delayed compressive neuropathy caused by scarring from substantial cutaneous burns in patients with electrical injuries. This case shows that electrical injuries may cause CTS in the absence of severe scarring through other mechanisms such as direct injuries to the nerve. Therefore, patients with electrical burns should be routinely examined for peripheral nerve compression symptoms in follow-ups, even when there are minimal cutaneous burns.",
author = "Wong, {Yi Sin} and Ong, {Cheung Ter} and Hsieh, {Yi Ying} and Hung, {Tuey Wen} and How-Ran Guo",
year = "2018",
month = "1",
day = "1",
doi = "10.1539/joh.2017-0247-CS",
language = "English",
volume = "60",
pages = "320--323",
journal = "Journal of Occupational Health",
issn = "1341-9145",
publisher = "Japan Society for Occupational Health",
number = "4",

}

Carpal tunnel syndrome after an electrical injury : A case report and review of literature. / Wong, Yi Sin; Ong, Cheung Ter; Hsieh, Yi Ying; Hung, Tuey Wen; Guo, How-Ran.

In: Journal of Occupational Health, Vol. 60, No. 4, 01.01.2018, p. 320-323.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Carpal tunnel syndrome after an electrical injury

T2 - A case report and review of literature

AU - Wong, Yi Sin

AU - Ong, Cheung Ter

AU - Hsieh, Yi Ying

AU - Hung, Tuey Wen

AU - Guo, How-Ran

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Introduction: Carpal tunnel syndrome (CTS) is prevalent in workers who utilize hand-held vibration tools, engage in tasks involving repetitive wrist movements, and suffer from wrist overuse. Although electrical injuries involving the median nerve are a relatively rare but plausible cause of CTS, the related literature is limited. Here, we report a case of CTS in which the symptoms developed after an electrical injury, and review the related literature. Case summary: The patient was a right-handed male electrician who often used hand tools but had no symptoms of CTS before the injury, with the left hand as the point of entry. Typical symptoms of CTS manifested after the electrical injury, and a nerve conduction velocity test confirmed the presence of severe CTS in the left hand. Therefore, we believe that the symptoms can be largely attributed to the electrical injury. Conclusions: The available literature supports the occurrence of delayed compressive neuropathy caused by scarring from substantial cutaneous burns in patients with electrical injuries. This case shows that electrical injuries may cause CTS in the absence of severe scarring through other mechanisms such as direct injuries to the nerve. Therefore, patients with electrical burns should be routinely examined for peripheral nerve compression symptoms in follow-ups, even when there are minimal cutaneous burns.

AB - Introduction: Carpal tunnel syndrome (CTS) is prevalent in workers who utilize hand-held vibration tools, engage in tasks involving repetitive wrist movements, and suffer from wrist overuse. Although electrical injuries involving the median nerve are a relatively rare but plausible cause of CTS, the related literature is limited. Here, we report a case of CTS in which the symptoms developed after an electrical injury, and review the related literature. Case summary: The patient was a right-handed male electrician who often used hand tools but had no symptoms of CTS before the injury, with the left hand as the point of entry. Typical symptoms of CTS manifested after the electrical injury, and a nerve conduction velocity test confirmed the presence of severe CTS in the left hand. Therefore, we believe that the symptoms can be largely attributed to the electrical injury. Conclusions: The available literature supports the occurrence of delayed compressive neuropathy caused by scarring from substantial cutaneous burns in patients with electrical injuries. This case shows that electrical injuries may cause CTS in the absence of severe scarring through other mechanisms such as direct injuries to the nerve. Therefore, patients with electrical burns should be routinely examined for peripheral nerve compression symptoms in follow-ups, even when there are minimal cutaneous burns.

UR - http://www.scopus.com/inward/record.url?scp=85050384239&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85050384239&partnerID=8YFLogxK

U2 - 10.1539/joh.2017-0247-CS

DO - 10.1539/joh.2017-0247-CS

M3 - Article

VL - 60

SP - 320

EP - 323

JO - Journal of Occupational Health

JF - Journal of Occupational Health

SN - 1341-9145

IS - 4

ER -