Carpal Tunnel Syndrome Flashcards
1
Q
what is the carpal tunnel?
A
it is a tunnel in the wrist formed by the carpal bones and flexor retinaculum
2
Q
what passes through the carpal tunnel?
A
median nerve
3
Q
what does the median nerve supply?
A
LOAF
- lumbricals I and II
- opponens pollicis
- abductor pollicis brevis
- flexor pollicis brevis
4
Q
causes of carpal tunnel syndrome
A
idiopathic RA pregnancy diabetes Colles fracture renal failure hypothyroidism
5
Q
presentation
A
parathesia in thumb and radial 2 1/2 fingers
worse at night
muscle wasting in thenar eminence
6
Q
diagnosis
A
Tinel’s test
Phalen’s test
NGS
7
Q
what is Tinel’s test?
A
percussing median nerve
8
Q
what is Phalen’s test?
A
hyper-flexed wrist
9
Q
management
A
wrist splint to prevent flexion
corticosteroid injections
decompression
