2.16.2013

Carpal Tunnel

Carpal Tunnel

See below for the answers.

What nerve is compressed in carpal tunnel?
What population is it most commonly seen in?
What are typical signs and symptoms?
Where is the anatomical location of the "carpal tunnel"?
Work up?
Treatment?









What nerve is compressed in carpal tunnel?
Median nerve

What population is it most commonly seen in?
Women 30-50 years old

What are typical signs and symptoms?
Wrist pain - numbness/tingling of thumb
Pain exacerbated with activities of wrist flexion
May awaken pt at night
Thenar atrophy

Where is the anatomical location of the "carpal tunnel"?
Between the carpal bones and the flexor retinaculum

Work up?
Clinical exams: Tinel's sign and Phalen's sign
EMG/nerve conduction study

Treatment?
neutral wrist orthosis
modification of activities that irritate
NSAIDs for inflammation control
steroid injections
surgery


Source: First Aid for the Wards (Le, Bhushan, Skapik)
Photos: www.methodistorthopedics.com , http://en.wikipedia.org/wiki/File:Carpal_Tunnel_Syndrome,_Operation.jpg

No comments:

Post a Comment