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BMJ Case Reports 2009; doi:10.1136/bcr.11.2008.1293
  • Other full case

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

  1. Luigi Vimercati1,
  2. Antonio Lorusso1,
  3. Nicola L’Abbate2,
  4. Giorgio Assennato1
  1. 1
    University of Bari, Department of Internal Medicine and Public Medicine, Piazza Giulio Cesare 11, 70124, Bari, Italy
  2. 2
    University of Foggia, Department of Medical and Occupational Sciences, Viale Pinto, 71100 Foggia, Italy
  1. Luigi Vimercati, l.vimercati{at}medlav.uniba.it
  • Published 3 June 2009

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.

Footnotes

  • Competing interests: None.

  • Patient consent: Patient/guardian consent was obtained for publication.

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