Compressive neuropathies

Question 1

Clinical tests for carpal tunnel?

Answer 1

Thenar wasting

Tinel’s Test - tap median nerve

Phalens; hold hands in reverse pray position.

Question 2

Management of carpal tunnel

Answer 2

NSAIDs, night time splint, steroid injection.

Question 3

Cubital tunnel syndrome tests?

Answer 3

Froments test. - hold piece of paper between thumb and index finger, should be able to stop u from pulling away.

Mx = NSAIDs.

Question 4

Radial tunnel syndrome?

Answer 4

Pain 4-5cm distal to the lateral epicondyle.

Symptoms worse when extending elbow and pronating forearm.