Carpal Tunnel Flashcards
1
Q
Two layers
A
Deep carpal arch
Superficial flexor retinaculum
2
Q
Carpal arch
A
Laterally - scaphoid and trapezium
Medially - hook of hamate and pisiform
3
Q
Flexor retinaculum
A
Originates on lateral side and inserts on the medial side of carpal arch
4
Q
Contents
A
Flexor pollicis longus tendon
Flexor digitorum profundus tendons (4)
Flexor digitorum superficialis tendons (4)
Median nerve
5
Q
Tinel’s Sign
A
Tapping median nerve in carpal tunnel to elicit pain
6
Q
Phalen’s manoeuvre
A
Holding wrist in flexion for 60 seconds to elicit numbness/pain
7
Q
Treatment for Carpal Tunnel
A
Splint overnight to hold wrist in dorsiflexion
Corticosteroid injections
Surgical decompression of the nerve (severe cases)
