Carpal Tunnel Syndrome



10.1055/b-0034-97739

Carpal Tunnel Syndrome

Minh-bao Le, David T. Tang & Susan E. Mackinnon
A 73-year-old right hand–dominant woman with a 6-month history of increasing numbness over the thumb and index finger of the right hand.


Description




  • Findings consistent with median nerve distribution of the right hand




    • Possible carpal tunnel syndrome.



  • Moderate thenar atrophy visible on the right hand in comparison with the opposite side.



Work-up



History




  • Length of time that symptomatology has been present and has been affecting the patient throughout the day.



  • Measures previously taken to prevent symptoms (e.g., splinting, positioning, avoidance of activities).



  • Pertinent symptoms consistent with nerve compression




    • Nocturnal pain, numbness, tingling in the thumb and one or more radial fingers.



    • Daytime paresthesias elicited with activities involving prolonged wrist flexion and/or extension.



    • Need for shaking and wringing the hands to alleviate symptoms.



    • Gritty sensation or numbness in fingers, grip and pinch weakness, diminished finger dexterity with a history of dropping objects.



    • Cold intolerance, dryness, and unusual textures in the radial digits.

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Jun 18, 2020 | Posted by in General Surgery | Comments Off on Carpal Tunnel Syndrome
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