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Carpal Tunnel-Surag Khadka
Contents
• Anatomy• Borders and Contents
• Carpal Tunnel Syndrome• Causes
• Signs and Symptoms
• Diagnostic tests
• Management and Treatment
Anatomy; Border• 8 Carpal Bones
• So Long To Pinkie, Here Comes The Thumb
HH
P ST
TT
2 cm distal to the distal wrist crease
FR
Anatomy; Contents
• Contents of Carpal Tunnel?• 4X FDS
• 4X FDP
• FPL
• Median Nerve
Carpal Tunnel Syndrome
• Compression of Median nerve in the carpal tunnel
Causes
• MEDIAN TRAP• Myxoedema
• “Edema”
• Diabetes
• Idiopathic
• Acromegaly
• Neoplasm
• Trauma
• RA
• Amyloidosis
• Pregnancy
Signs and Symtoms
• Numbness
• Tingling/Burning
• Pain
• Loss of grip
• Thenar wasting
• Waking at night
Diagnostic tests• Phalen’s test
• Tinel’s test
• Durkan’s test
Management and Treatment
• Physiotherapy (splints/braces)
• Steroids (orally/SubCut)
• Surgical release