Carpal tunnel syndrome

Carpal tunnel syndrome - Carpal tunnel syndrome Diagnosis A...

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Carpal tunnel syndrome Diagnosis A diagnosis of CTS is usually made from a good history and positive findings on examination; however it is important to rule out other conditions which may produce similar symptoms, such as a prolapse cervical disc or arthritis of the 1 st Metacarpophalangeal joint. A typical history is one of pain in the median distribution and muscle weakness in the affected hand. Physical examination may reveal disturbed sensation in the area of median distribution, wasting of the hypothenar and muscle weakness of hand and pincer grip. Special tests such as Phalen's manoeuvre and Tinel's sign place the median nerve under tension with the aim of reproducing the symptoms of CTS. Phalen's manoeuvre is performed by flexing the wrist as far as possible, then holding this position and awaiting symptoms for a minute. Tinel's sign is elicited by Percussing over the carpal tunnel (flexor retinaculum) in the aim of eliciting symptoms. Imaging investigations such as X ray and MRI are able to detect bony growths or local oedema that may
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This note was uploaded on 12/04/2011 for the course ANTHRO 2000 taught by Professor Monicaoyola during the Fall '10 term at Broward College.

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Carpal tunnel syndrome - Carpal tunnel syndrome Diagnosis A...

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