Carpal Tunnel Syndrome

Question 1

A repetitive strain injury caused by compression of the median nerve, which enters the hand through the narrow confines of the carpal tunnel

Answer 1

Carpal Tunnel Syndrome

Question 2

associated with hobbies or occupations that require continous wrist movement

Answer 2

Carpal Tunnel Syndrome

Question 3

What are the hobbies or occupations that require continous wrist movement

Answer 3

-musician
-painters
-carpenters
-computer operators

Question 4

What is carpal tunnel syndrome?

Answer 4

-A repetitive strain injury caused by compression of the median nerve, which enters the hand through the narrow confines of the carpal tunnel
-associated with hobbies or occupations that require continous wrist movement

Question 5

Etiology of carpal tunnel syndrome

Answer 5

-pressure from trauma or edema resulting from inflammation of a tendon (tenosynoritis)
-neoplasm
-rheumatoid arthritis
-soft tissue masses
-hormones (estrogen & progesterone)
-diabetes

Question 6

Clinical Manifestation of Carpal Tunnel Syndrome

Answer 6

-weakness (especially of the thumb)
-burning pain (causalgia)
-numbness & tingling
-clumsiness in performing fine hand movements
- tinel sign and phalen sign

Question 7

awakens at night

Answer 7

numbness & tingling

Question 8

shaking hands relive symptoms

Answer 8

numbness & tingling

Question 9

characteristics of numbness & tingling

Answer 9

-awakens at night
- shaking hands relive symptoms

Question 10

Elicited by tapping over the median nerve as it passes through the carpal tunnel in the wrist

Answer 10

Tinel Sign

Question 11

A positive result of Tinel Sign

Answer 11

a sensation of tingling in the distribution of the median nerve over the hand is felt

Question 12

What is Tinel Sign?

Answer 12

elicited by tapping over the median nerve as it passes through the carpal tunnel in the wrist

Question 13

What is a Tinel sign nerve involved?

Answer 13

Median Nerve

Question 14

Tinel sign affected are

Answer 14

middle index and thumb

Question 15

can be elicited by allowing the wrists to fall freely into maximum flexion and maintaining the position for longer than 60 seconds

Answer 15

Phalen Sign

Question 16

A positive result of Phalen Sign

Answer 16

A sensation of tingling in the distribution of the median nerve over the hand

Question 17

What is Phalen sign?

Answer 17

can be elicited by allowing the wrists to fall freely into maximum flexion and maintaining the position for longer than 60 seconds

Question 18

Surgical Management of Carpal Tunnel Syndrome

Answer 18

-Open-release Surgery
-Endoscopic Carpal Tunnel Release

Question 19

An incision is made in the wrist and then the carpal ligament is cut to enlarge the carpal tunnel syndrome

Answer 19

Open-release surgery

Question 20

What is open-release surgery?

Answer 20

An incision is made in the wrist and then the carpal ligament is cut to enlarge the carpal tunnel syndrome

Question 21

Performed through one or more small puncture incisions in the wrist and palm

Answer 21

Endoscopic Carpal Tunnel Release

Question 22

Carpal ligament is cut with the aid of a camera

Answer 22

Endoscopic Carpal Tunnel Release

Question 23

What is Endoscopic Carpal Tunnel Release?

Answer 23

-Performed through one or more small puncture incisions in the wrist and palm
-Carpal ligament is cut with the aid of a camera

Question 24

Management of Carpal Tunnel Syndrome

Answer 24

-identify risk factors
-wearing of wrist splints
-workstation modifications
- frequent breaks from work-related activities

Question 25

slightly extended to relieve pressure on median nerve

Answer 25

wearing of wrist splints

Question 26

Rationale of wearing of wrist splints

Answer 26

slightly extended to relieve pressure on median nerve

Question 27

what is the other term of pressure from trauma resulting from inflammation of a tendon

Answer 27

tenosynovitis