Carpal tunnel syndrome

Question 1

which nerve is compressed in CTS

Answer 1

median nerve

Question 2

where does the median nerve pass through

Answer 2

the carpal tunnel

Question 3

list 2 features suggestive of carpal tunnel syndrome

Answer 3

pains/pins needles in thumb and index finger and middle finger

shakes hand to obtain relief

Question 4

which fingers are usually affected in CTS

Answer 4

thumb
index finger
middle finger

Question 5

what would be the biggest clue in detecting CTS in a patient

Answer 5

shaking the hand to get relief

Question 6

what does tinels sign refer to

1. tapping of the median nerve at the wrist = shooting pain and paraesthesia
2. flexion at the wrist causes pain/paraesthesia in at-least on of the fingers

Answer 6

tapping of the median nerve at the wrist = shooting pain and paraesthesia

Question 7

what does the phalenes sign refer to

1. tapping of the median nerve at the wrist = shooting pain and paraesthesia
2. flexion at the wrist causes pain/paraesthesia in at-least on of the fingers

Answer 7

2. flexion at the wrist causes pain/paraesthesia in at-least on of the fingers

Question 8

list 2 exmaination findings of CTS

Answer 8

wasting of the theniar eminence

weakness of thumb abduction

Question 9

weakness of thumb abduction would indicate what?

Answer 9

weakness if abductor pollicis brevis = CTS

Question 10

list 3 causes of CTS

Answer 10

pregnancy 
idiopathic 
oedema 
lunate fracture 
RA

Question 11

list 3 ways of treating CTS

Answer 11

corticosteroid injection

wrist splint at night

surgical decompression

Question 12

how does surgical decompression treat CTS

Answer 12

flexor retinaculum division