Unilateral carpal tunnel syndrome: an unusual presentation of nodular fasciitis

BMJ Case Rep. 2020 Nov 30;13(11):e236142. doi: 10.1136/bcr-2020-236142.

Abstract

Nodular fasciitis is a benign, self-limiting proliferative disorder of fibroblast of uncertain aetiology, occurs frequently in the forearm. Nodular fasciitis in hand inducing carpal tunnel syndrome is exceptional. There are four cases of non-intraneural nodular fasciitis causing peripheral neuropathy that has been reported previously. We present the case of a 38-year-old man with features of unilateral carpal tunnel syndrome. Decompression of the median nerve performed subsequently along with excision of the lesion in a piecemeal fashion. Histopathological and immunohistochemical findings were consistent with nodular fasciitis. There were complete resolution of symptoms and no sign of recurrence at the end of 1 year after surgery.

Keywords: connective tissue disease; orthopaedic and trauma surgery.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Carpal Tunnel Syndrome / etiology*
  • Diagnosis, Differential
  • Fasciitis / complications
  • Fasciitis / diagnosis*
  • Fasciitis / pathology
  • Humans
  • Male
  • Median Nerve / pathology