Bilateral median and ulnar neuropathy at the wrist in a parquet floorer

Description: Many cases of work related compression neuropathy of the ulnar and median nerves at the wrist have been described. This report presents a case of bilateral distal neuropathy of the median and ulnar nerves in a parquet floorer, who laid wooden block flooring by hand and used the palms and volar surface of both hands to hit the blocks into place. He also used an electric sander and polisher. Bilateral numbness and paraesthesias in all fingers had been present for about one year. Clinical examination was normal; the neurological assessment indicated slight impairment in response to tactile, heat, and pain stimuli in all 10 fingers. Electroneurography showed increased distal motor latencies of median and ulnar nerves at both wrists, although the lower limbs were normal.
Bilateral median and ulnar neuropathy at the wrist in a parquet floorer. M dell'Omo, G Muzi, T A Cantisani, S Ercolani, M P Accattoli, and G Abbritti Occup Environ Med. 1995 March; 52(3): 211–213 Full text available