Abstract

ORTEGA PEREZ, A.. Avulsion of part of a phalanx, carpal tunnel syndrome and Dupuytren's contracture: Coincidence or causal relationship?. Cuad. med. forense [online]. 2005, n.40, pp.107-111. ISSN 1988-611X.

In most cases, the etiology of carpal tunnel syndrome (CTS) and of Dupuytren's contracture are unknown. However, here both diseases are presented associated in the hand of a woman that several months before had suffered the avulsion of part of a phalanx. Comparing these facts with the data from the literature, the conclusion is that the avulsion has been either the cause of the CTS or its direct trigger in a woman that probably had some anatomical predisposition for the disease; this conclusion is even clearer for the initial stage of Dupuytren's contracture in this woman, because both appeared after the trauma, its causal relationship is coherent with the scientific knowledge, given that similar situations have been described, and because the woman lacked most of the risk factors associated in the literature with the idiopathic CTS or with the idiopathic Dupuytren's contracture.

Keywords : Dupuytren’s contracture; etiology; post-traumatic; Carpal tunnel syndrome; traumatology.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )