carpal tunnel

Question 1

more comon in men or women?

Answer 1

women

Question 2

associated with ?

Answer 2

gout, obesity, pregnancy, acromegaly, rheumatoid, diabetes,

Question 3

which nerve is affected and what does it pass under?

Answer 3

median nerve under the flexor retinaculum

Question 4

signs of of median nerve compression?

Answer 4

Wasting of the thenar eminence (the chunky muscle on the palmar aspect of the base of the thumb) – is often a late sign
Parasthesia of the lateral 3½ fingers (thumb, forefinger and middle finger)
Pain / tingling in the lateral 3 fingers

Question 5

what do you look for on examination ?

Answer 5

wasting of thinner eminence

Question 6

what two tests can you do ?

Answer 6

tinnels (tapping)

phalens (flexing)

Question 7

diagnosis ?

Answer 7

clinical, but nerve conduction studies can be performed

Question 8

management ?

Answer 8

conservative
splint can be worn at night
pain relief in form of NSAIDS

Question 9

injection of what can be used if other methods fail to control symptoms

Answer 9

hydrocortisone

Question 10

last resort treatment

Answer 10

surgical decompression