Carpal Tunnel Syndrome Flashcards Preview

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Flashcards in Carpal Tunnel Syndrome Deck (3)
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1

Px

More comm in women
Tingling
Can radiate up arm and shoulder
Weak thumb abduction
Symps often at night, wakes them up
Hang arm out of bed to help
Thenar muscle wasting LT
Assoc with preg, DM, hypothyr

2

Ix

-phalens sign test-
Flex wrists approx 90 deg for 60 sec causes tingling, numbness, pain in fingers. Lateral 3.5 digits.
-tinnel test-
Percuss distal wrist crease over median N causes parasthesia.
-hand elevat-
For 2 mins provoke symps
-flick sign-
Flicking of wrist and hand relieves symps
-square wrist sign

3

MEDIAN TRAP

Myxoedema- hypothyr
Ethanol
DM
Idiopathic
Amyloidosis
Neoplasia
Trauma
RA
Acromegaly
Pregnancy