Median neuropathy at or distal to the wrist (carpal tunnel syndrome) is the most common entrapment neuropathy, typically presenting between 40 and 60 years of age. <1% of patients present in the first or second decade of life, and different etiologies should be considered within the pediatric population.

We reviewed hospital records from January 2003 to December 2017 to identify patients <18 years with CTS using the search terms “median neuropathy” and “carpal tunnel syndrome”. Patients were identified as CTS if they had (a) unilateral or bilateral pain, paresthesias, and/or weakness in upper extremities, and (b) nerve conduction study (NCS) abnormalities, with or without electromyography (EMG) abnormalities, consistent with the diagnosis of CTS. We performed a retrospective review of the medical records for demographic profile, clinical features, and electrodiagnostic (EDx) findings.