[Compression neuropathy of the median nerve at the wrist joint caused by chondroma].
The case is reported of a 75-year old patient with diabetes, who suffered from a typical carpal tunnel syndrome, which was diagnosed by a neurologist. On the X-rays of hand and wrist there were no pathological findings. A small, clinically almost inapparent induration at the palmar and radial side of the wrist was found. Ultrasonography and CT-scan showed a tumor with compression of the median nerve. At operation the authors excised a tumor which on histological investigation was compatible with a soft tissue chondroma. Full recovery followed local excision with decompression of the median nerve. Soft tissue chondromas localised to the hand and wrist are extremely rare. A few cases have been described in the literature which led to a nerve compression.
Abteilung für Unfallchirurgie, Hand-, Plastische und Wiederherstellungschirurgie der Universität Ulm.
A K
AK
Hofmann
M C
MC
Wüstner
W
W
Spier
D000368:Aged; D002349:Carpal Tunnel Syndrome / Q000175:diagnosis / Q000601:surgery*; D002812:Chondroma / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D012983:Soft Tissue Neoplasms / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014953:Wrist / Q000473:pathology / Q000601:surgery*
Kompressionsneuropathie des N. medianus am Handgelenk durch ein Chondrom.