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2013년 6월 8일 토요일

Carpal tunnel

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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