Carpal Tunnel Syndrome Flashcards
1
Q
Px
A
More comm in women Tingling Can radiate up arm and shoulder Weak thumb abduction Symps often at night, wakes them up Hang arm out of bed to help Thenar muscle wasting LT Assoc with preg, DM, hypothyr
2
Q
Ix
A
-phalens sign test-
Flex wrists approx 90 deg for 60 sec causes tingling, numbness, pain in fingers. Lateral 3.5 digits.
-tinnel test-
Percuss distal wrist crease over median N causes parasthesia.
-hand elevat-
For 2 mins provoke symps
-flick sign-
Flicking of wrist and hand relieves symps
-square wrist sign
3
Q
MEDIAN TRAP
A
Myxoedema- hypothyr Ethanol DM Idiopathic Amyloidosis Neoplasia Trauma RA Acromegaly Pregnancy