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Published 3 June 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.11.2008.1293]
Copyright © 2009 by the BMJ Publishing Group Ltd.

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Bilateral carpal tunnel syndrome and ulnar neuropathy at the elbow in a pizza chef

Luigi Vimercati1, Antonio Lorusso1, Nicola L’Abbate2, Giorgio Assennato1

1 University of Bari, Department of Internal Medicine and Public Medicine, Piazza Giulio Cesare 11, 70124, Bari, Italy
2 University of Foggia, Department of Medical and Occupational Sciences, Viale Pinto, 71100 Foggia, Italy

Correspondence to:
Luigi Vimercati, l.vimercati{at}medlav.uniba.it

SUMMARY

A case of bilateral carpal tunnel syndrome and ulnar neuropathy at the elbow in a 22-year-old pizza chef is described. An on-site analysis revealed that job tasks performed by the worker exposed him to a combination of biomechanical risk factors. Patient history and workplace observations suggest that occupational physical exposure may have caused the bilateral entrapment neuropathies. The present report underlines the advisability of a detailed occupational history in the case of entrapment neuropathies of the upper limbs commonly regarded as being related to biomechanical occupational exposure.


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