Carpal Tunnel Flashcards
1
Q
Acronym for causes of carpal tunnel?
A
PRAGMATIC
2
Q
Fill in PRAGMATIC
A
P - pregnancy R - RA A - alcohol G - growth hormone (ACROMEGALY) M - metabolic A - arthritis T - tumour I - idiopathic C - connective tissue disorder
3
Q
What are the symptoms of carpal tunnel?
A
Wrist pain worse at night
Tingling over median nerve part of the hand
Wasting of thenar muscles
4
Q
What may lead to the thenar muscles being spared?
A
The median cutaneous nerve passes superficial to the flexor retinaculum
If this remains intact then the muscles may be spared
5
Q
Investigations?
A
Tinels
Phalens
Nerve conduction studies
6
Q
Treatment?
A
Treatment of underlying cause
Night splints
Decompressive surgery
