Diferencia entre revisiones de «Carpal tunnel syndrome»
(Added Durkan sign) |
Sin resumen de edición |
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| Línea 15: | Línea 15: | ||
*Durkan sign (more sensitive) | *Durkan sign (more sensitive) | ||
**Manual compression of carpal tunnel reproduces symptoms | **Manual compression of carpal tunnel reproduces symptoms | ||
==Differential Diagnosis== | |||
==Treatment== | ==Treatment== | ||
| Línea 21: | Línea 23: | ||
#NSAIDs (although not clearly effective) | #NSAIDs (although not clearly effective) | ||
#Diuretics (if edema is significant contributor to pt's symptoms) | #Diuretics (if edema is significant contributor to pt's symptoms) | ||
==See Also== | |||
==Source== | ==Source== | ||
Revisión del 22:34 11 feb 2015
Background
- Most common focal mononeuropathy
- Results from compression of median nerve at wrist where it traverses the carpal tunnel
- Etiology:
- Repetitive wrist flexion/extension, DM, amyloidosis, trauma, edema
Clinical Features
- Pain, paresthesia, and numbness in distribution of median nerve
- Palmar aspect of thumb, index, middle, and radial aspect of ring finger
- Awakening at night w/ burning pain and tingling in hand
- Tinel sign
- Tapping on palmar aspect of wrist reuslts in electric shock sensation shooting into hand
- Phalen maneuver
- Holding wrists in flexion for 60 seconds evokes or worsens symptoms
- Durkan sign (more sensitive)
- Manual compression of carpal tunnel reproduces symptoms
Differential Diagnosis
Treatment
- Behavioral modification
- Wrist splint w/ wrist in neutral position
- NSAIDs (although not clearly effective)
- Diuretics (if edema is significant contributor to pt's symptoms)
See Also
Source
Tintinalli