Open surgery for carpal tunnel syndrome release at the University Hospital Center ‘La Renaissance’ in Chad

Authors

  • Yannick C Kessely University hospital center La Renaissance (Chad)
  • Kantenga Kabulo Jason Sendwe General Provincial Hospital, Lubumbashi (D R Congo)
  • Oumar S Oumar University hospital center La Renaissance (Chad)
  • Olivier L Ouambi University hospital center La Renaissance (Chad)
  • Felicien G. Toudjingar University hospital center La Renaissance (Chad)
  • Kader Ndiaye University hospital center La Renaissance (Chad)
  • Traoré Sorry University hospital center La Renaissance (Chad)
  • Brahim Soukaya University hospital center La Renaissance (Chad)
  • Aboubacar Aouami University hospital center La Renaissance (Chad)
  • André D Sane University hospital centre fann Dakar (Senegal)
  • Boubacar S Badiane University hospital centre fann Dakar (Senegal)

Keywords:

Carpal tunnel, Median nerve, open Surgery, la renaissance

Abstract

Carpal tunnel syndrome (CTS) is the most common compressive neuropathy of the upper limb. Management in a neurosurgical environment is infrequent. The objective of our study is to report our experience with the surgical management of this condition at the neurosurgical department at Renaissance University Hospital Centre in Chad. We report four cases of CTS revealed by paresthesia. The patients ranged in age from 51 to 61 years, including two women. The clinical presentations and the electro-neurograms had confirmed the diagnosis. Symptoms were bilateral in two cases. All patients were right handed and typists. Treatment consisted of an open release of the carpal annular ligament after unsuccessful medical treatment. The course was favorable marked by complete disappearance of clinical symptoms.

References

Napon J, Kaboré J. A case of focal hand dystonia combined with carpal tunnel syndrome in Ouagadougou (Burkina Faso). Revue neurologique. 2011; 167 :245‑9.

Matthew J, Mona L, Charles L. The Incidence of recurrence after endoscopic carpal Tunnel Release. Plast Reconstr Surg. 2000 ;105 :1662‑5.

Amine T, Amine S, Mohamed C, Aniss E, Lkoutbi F, Yasser S Et al. Carpal tunnel syndrome secondary to a rare anatomical variation of the median nerve. Pan African Medical Journal. 2018 ;31(39) :1‑6.

Anmil. Musculoskeletal and Biomechanical Overload Disorders of Workers in the Commercial Sector : A Comparative Picture [Internet]. 2013. Disponible sur : http://www.ctr.it/back_end/files_news/1577.

Fianyo E, Kakpovi K, Gbeassor-Komlanvi F, Tagbor K, Houzou P, Koffi-Tessio V et al. Le Syndrome Du Canal Carpien À Lomé (Togo). European Scientific Journal. 2020 ; 16(9) :229‑39.

Cissoko M. Etude de la fréquence du syndrome du canal carpien dans le service de Rhumatologie au CHU du Point G à Bamako. Université de Bamako (Mali) ; 2008.

Cuny E, Roche P, Moreau J, Vignes J, Barrey C, Buffenoir K. Neurochirurgie. Paris : Elsevier Masson SAS ; 2016. 41–3.

Bertrand L. Traitement du syndrome du canal carpien : écho-chirurgie. Revue du rhumatisme monographies. 2020 ;87 :207‑11.

Moreel P, Dumontier C. Chirurgie des syndromes canalaires du poignet. EMC (Elsevier Masson SAS, Paris), Techniques chirurgicales - Orthopédie-Traumatologie. En 2007. p. 44‑362.

Ghasemi-rad M, Nosair E, Vegh A, Mohammadi A, Akkad A, E L. A handy review of carpal tunnel syndrome: From anatomy to diagnosis and treatment. World J Radiol. 2014 ; 6(6) :284‑300.

Bodard S, Rosa G, Azuelos A, Aharoni C. Traumatologie-Orthopédie. Paris : Editions Vernazobres-Grego ; 2018. 21–8.

Samson P. Le syndrome du canal carpien. Chirurgie de la main. 2004 ;23 : S165-S 177.

Amina G, Youssef S, Linda L, Imen K, Yosr H, Mouna D et al. La fistule arterioveineuse est un facteur supplémentaire de risque de développer un syndrome du canal carpien chez le patient hémodialysé. ScienceDirect. 2014 ;709 :1‑4.

Leduc A, Perrot P, Truffandier M, Bellier-Waast F, Duteille F. Carpal tunnel Syndrome du canal carpien chez l’enfant. A propos de 10 cas cliniques. Annales de chirurgie plastique esthétique. 2014 ;1002 :1‑6.

Kotevoglu N, Gülbahce S. Ultrasound imaging in the diagnosis of carpal tunnel syndrome and its relevance to clinical evaluation. Joint Bone Spine. 2005 ;72 :142‑5.

Seror P. Sonography and electrodiagnosis in carpal tunnel syndrome diagnosis, an analysis of the literature. Eur J Radiol. 2008 ; 67 :146‑52.

David P, Pascal R. Prise en charge du syndrome du canal carpien : de l’échographie diagnostique à la libération percutanée sous échographie. Revue du rhumatisme. 2018 ;85 :243‑50.

Siham B, Aouatef El M, Khadija B, Abourazzak F Z, Nassira A, Taoufik H et al. Comparaison des données de l’échographie par rapport à l’électroneuromyogramme dans le diagnostic de syndrome de canal carpien. Pan African Medical Journal. 2019 ;34(50) :1‑6.

Patrick Le R. Syndrome du canal carpien et mobilisation des nerfs. Kinesither Rev. 2007; 68‑69:49‑52.

Wilson J, Sevier T. A review of treatment for carpal tunnel syndrome. Disabil Rehabil. 2003; 25:113‑9.

Marshall S, Tardif G, Ashworth N. Local steroid injections for carpal tunnel syndrome. Cochrane Datababse Syst Rev. 2002.

Downloads

Published

13-08-2023

How to Cite

1.
Kessely YC, Kabulo K, Oumar OS, Ouambi OL, Toudjingar FG, Ndiaye K, et al. Open surgery for carpal tunnel syndrome release at the University Hospital Center ‘La Renaissance’ in Chad. EAJNS [Internet]. 2023 Aug. 13 [cited 2024 Dec. 21];2(2):82-8. Available from: https://theeajns.org/index.php/eajns/article/view/203

Issue

Vol. 2 No. 2 (2023): Vo1 2, issue 2

Section

Case reports

License

Copyright (c) 2023 East African Journal of Neurological Sciences

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Most read articles by the same author(s)