title: [Carpal tunnel syndrome in children. About 10 clinical cases].
abstract: BACKGROUND
  The carpal tunnel syndrome is a common peripheral neuropathy in adults but is rare in children. We report a series of 10 carpal tunnel syndromes in children.
  
  
  METHODS
  We have supported five children, two males and three females, with a bilateral carpal tunnel syndrome. We studied the clinical history (history, symptoms, stage of disease), therapeutic management and remote development. Three children were diagnosed with a mucopolysaccharidosis, the fourth with VATER association. For the last child, it was a form considered idiopathic. Two children were referred for night pains, the others for under-utilization of their first three fingers, two of which had a thenar atrophy. Four children underwent an electromyogram for diagnostic confirmation. We realized open surgical treatment at one time, by section of the carpal ligament.
  
  
  RESULTS
  The average age of our patients was 4years. The average decline in the surgical study was 19 months. Postoperatively, we noted, in all patients, complete regression of the painful symptoms, a sensory improvement and recovery of the opposition of the thumb.
  
  
  CONCLUSIONS
  The scarcity of carpal tunnel syndrome in children and the atypical symptoms may cause diagnostic delay, with serious consequences. We keep vigilant and ready to access to additional tests (electromyogram). For our team, the therapeutic approach is a systematic open surgical treatment.
authors.affiliation: Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Jean-Monnet, CHU de Nantes, 44093 Nantes cedex 01, France.
authors.forename: A
authors.initials: A
authors.lastname: Leduc
authors.affiliation: Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Jean-Monnet, CHU de Nantes, 44093 Nantes cedex 01, France.
authors.forename: P
authors.initials: P
authors.lastname: Perrot
authors.affiliation: Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Jean-Monnet, CHU de Nantes, 44093 Nantes cedex 01, France.
authors.forename: M V
authors.initials: MV
authors.lastname: Truffandier
authors.affiliation: Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Jean-Monnet, CHU de Nantes, 44093 Nantes cedex 01, France.
authors.forename: F
authors.initials: F
authors.lastname: Bellier-Waast
authors.affiliation: Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Jean-Monnet, CHU de Nantes, 44093 Nantes cedex 01, France. Electronic address: franck.duteille@chu-nantes.fr.
authors.forename: F
authors.initials: F
authors.lastname: Duteille
mesh_terms: D002349:Carpal Tunnel Syndrome / Q000175:diagnosis / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male
keywords: Carpal tunnel syndrome; Children; Enfant; Median nerve; Nerf médian; Surgical treatment; Syndrome du canal carpien; Traitement chirurgical