Work

Acute Carpal Tunnel Syndrome Secondary to Handcuffs Necessitating Emergency Orthopedic Consultation and Operative Intervention

Year: 2025

Type: article

Abstract: We present a case of acute carpal tunnel syndrome secondary to tight handcuffs in a detained patient. The severity of the motor and sensory deficits prompted consultation with orthopedic specialists and admission for an observation period with ultimate emergency operative intervention. Handcuff neuropathies are well documented in the literature, mainly involving the superficial branch of the radial nerve, which has strict sensory input into the dorsum of the hand. Less common median nerve neuropathies have also been documented following handcuff injury; however, none have required emergency intervention. We aim to highlight this unusual presentation and the emergency nature of the condition, as well as advocate for increased caution when caring for detained patients in the emergency department.

Source: Journal of the American College of Emergency Physicians Open

DOI: 10.1016/j.acepjo.2024.100013

Authors: Fabian Jano, Kelly MacKenzie, Vivek K. Bilolikar, David Goldberger, Andrei Tuluca

Institutions: Thomas Jefferson University, Jefferson Einstein Philadelphia Hospital

Language: English

Topic: Peripheral Nerve Disorders

Subfield: Radiology, Nuclear Medicine and Imaging

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,600