Carpal Tunnel Flashcards

1
Q

Acronym for causes of carpal tunnel?

A

PRAGMATIC

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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
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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

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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

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5
Q

Investigations?

A

Tinels
Phalens
Nerve conduction studies

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6
Q

Treatment?

A

Treatment of underlying cause

Night splints

Decompressive surgery

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