The Teaching Point

Acral osteolysis is an alarming radiological sign that signifies progressive destruction in the mutilating/ulcerating variety of carpal tunnel syndrome. Surgery provides symptomatic relief, and reverses cutaneous signs, but the bony resorption is reportedly irreversible.






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From the manuscript

Acral osteolysis in bilateral carpal tunnel syndrome

Free full text article: Acral osteolysis in bilateral carpal tunnel syndrome

Abstract
Carpal tunnel syndrome is a common neurological condition with rare yet potentially serious cutaneous and skeletal complications. We present a case of mutilating/ulcerating bilateral carpal tunnel syndrome in a 63 year old female. Radiographs showed symmetrical acral osteolysis in the index and middle fingers distal phalanges bilaterally. Carpal tunnel decompressions provided symptomatic relief.






References



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