{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:49:52Z","timestamp":1740167392082,"version":"3.37.3"},"reference-count":7,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Epidermal inclusion cysts (EIC) are epidermally lined, keratin containing cysts which occur when keratinizing epithelium becomes imbedded in deeper subcutaneous tissue, usually following penetrating trauma, or, rarely, surgery.\u202fWe describe a case of an EIC presenting as a late complication following open carpal tunnel release (CTR).<\/jats:p><jats:p>\n          Case Description\u2003A 64-year-old woman with a history of left open CTR 17 years prior presented to our institution with unprovoked left palmar pain, swelling, and fluctuance. Computed tomography imaging confirmed the presence of a multiloculated abscess involving the hypothenar musculature. The abscess developed at the site of a small, pre-existing, asymptomatic mass that the patient recalls developed within months of CTR surgery. She was initially treated with antibiotics and bedside incision and drainage, but required further operative exploration in the setting of persistent erythema and drainage. An\u202finflamed\u202fcystic structure consistent with an infected EIC was identified and completely excised. Her wound healed by secondary intention. Her postoperative course was uncomplicated. Pathology confirmed a diagnosis of EIC.<\/jats:p><jats:p>\n          Literature Review\u2003Only one other case report was found in which the patient presented within 2 years following CTR surgery with what was later confirmed to be an EIC and recurrent median nerve compression symptoms.<\/jats:p><jats:p>\n          Clinical Relevance\u2003To prevent a delay in definitive surgical care, EIC rupture and subsequent infection should be considered in the differential diagnosis when evaluating patients with a history of prior hand surgery who are presenting with an unprovoked hand abscess, as incision and drainage alone will not adequately treat an EIC.<\/jats:p>","DOI":"10.1055\/s-0042-1756513","type":"journal-article","created":{"date-parts":[[2022,11,9]],"date-time":"2022-11-09T23:49:32Z","timestamp":1668037772000},"page":"439-441","source":"Crossref","is-referenced-by-count":0,"title":["Epidermal Inclusion Cyst Formation: Late Complication of Carpal Tunnel Release"],"prefix":"10.1055","volume":"12","author":[{"given":"Srdjan","family":"Kamenko","sequence":"additional","affiliation":[{"name":"Oregon Health and Sciences University Division of Plastic and Reconstructive Surgery, Portland, Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3779-1232","authenticated-orcid":false,"given":"Holden","family":"Richards","sequence":"additional","affiliation":[{"name":"Oregon Health and Sciences University School of Medicine, Portland, Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Russell Jared","family":"Madsen","sequence":"additional","affiliation":[{"name":"Oregon Health and Sciences University Division of Plastic and Reconstructive Surgery, Portland, Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiliang","family":"Chang","sequence":"additional","affiliation":[{"name":"Oregon Health and Sciences University Division of Plastic and Reconstructive Surgery, Portland, Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,11,9]]},"reference":[{"key":"ref1","first-page":"2301","volume-title":"Soft tissue tumors","author":"G B McFarland","year":"1988"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/j.hcl.2004.03.015","article-title":"Ganglion cysts and other tumor related conditions of the hand and wrist","volume":"20","author":"M E Nahra","year":"2004","journal-title":"Hand Clin"},{"issue":"02","key":"ref3","first-page":"242","article-title":"A histopathologic study of epidermoid cysts in Korea: comparison between ruptured and unruptured epidermal cyst","volume":"6","author":"J S Park","year":"2013","journal-title":"Int J Clin Exp Pathol"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"792","DOI":"10.1177\/1753193409347509","article-title":"Epidermoid cysts in the hand","volume":"34","author":"C J Lincoski","year":"2009","journal-title":"J Hand Surg Eur Vol"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1055\/s-0035-1556859","article-title":"Epidermal inclusion cyst after carpal tunnel release: a case report","volume":"5","author":"H Y Park","year":"2016","journal-title":"J Wrist Surg"},{"issue":"05","key":"ref6","doi-asserted-by":"crossref","first-page":"E956","DOI":"10.1227\/01.NEU.0000255442.67236.0D","article-title":"Recurrent carpal tunnel syndrome owing to an implantation epidermoid cyst after carpal tunnel decompression: case report","volume":"60","author":"H L Low","year":"2007","journal-title":"Neurosurgery"},{"issue":"12","key":"ref7","doi-asserted-by":"crossref","first-page":"1067","DOI":"10.2106\/JBJS.L.00903","article-title":"Complications of endoscopic and open carpal tunnel release at a minimum of ten years","volume":"95","author":"L S Benson","year":"2013","journal-title":"J Bone Joint Surg Am"}],"container-title":["Journal of Wrist Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0042-1756513.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T23:11:07Z","timestamp":1697152267000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0042-1756513"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,9]]},"references-count":7,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2023,10,12]]},"published-print":{"date-parts":[[2023,10]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0042-1756513","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2163-3916","2163-3924"],"issn-type":[{"type":"print","value":"2163-3916"},{"type":"electronic","value":"2163-3924"}],"subject":[],"published":{"date-parts":[[2022,11,9]]}}}