Carpal tunnel syndrome Flashcards
1
Q
Risk factors
A
Female aged 40-50
Pregnancy
Post-menopause
Myxoedema
RA
2
Q
Symptoms
A
Pain and paraesthesia at night time (in thenar muscles)
Relieved by shaking hand or hanging it out of bed
3
Q
What tests can be used to identify carpal tunnel?
A
Tinel’s - symptoms brought on by percussion of median nerve
Phalen’s - symptoms brought on by holding wrist in full flexion for 1-2mins
4
Q
What is the main differential for carpal tunnel and how can it be excluded?
A
Cervical spondylosis (OA of C spine) - do neck exam and nerve conduction test
5
Q
Management
A
