Carpal Tunnel Syndrome

see [Carpal Tunnel Injection]

Compression of the median nerve in the carpal tunnel at the wrist due to direct trauma, repetitive use, or anatomic anomalies. Most commonly affects middle-aged or pregnant women.

HISTORY & PHYSICAL:

The presence of median nerve motor deficit requires emergency hand consultation.

Tinel's sign is produced by tapping over the median nerve at the wrist.


Phalen's sign is performed by holding the wrists together for up to 60 seconds

DIFFERENTIAL

DIAGNOSTIC TESTING


TREATMENT

Acute:

Ongoing:

 

ITE 2012, Q82. Which one of the following has the highest sensitivity and specificity for carpal tunnel syndrome?

A) A positive Phalen maneuver
B) Distal tingling with percussion (Tinel’s sign)
C) A history of shaking the hand or flicking the wrist to alleviate nighttime pain (the flick sign)
D) Thenar atrophy

ANSWER: C