Carpal tunnel syndrome
:Compression of median nerve
Symptoms:
{
Sensory - too little (numbness)
- too much (tingling, pain)
Motor - weakness, clumsiness
}
Numbness (thenar eminence is spared - supplied by palmar branch which lies outside the carpal tunnel)
Tingling
Pain (in Hand and arm. Pain may radiate from ventral aspect of wrist proximally to forearm and upper arm. Maybe worse at night)
Clumsiness
Weakness of hand
Tests:
EMG
U/S wrist
MRI wrist
Differential:
c6, c7 radiculopathy
brachial plexopathy
Rx:
Splint
NSAIDs
Corticosteroid injection
Surgical release
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