Carpal Tunnel Syndrome (CTS) Brief Review:
- Most common nerve entrapment syndrome
- More common in women than men
- Symptoms
- may even radiate into the shoulder region
- are noted more with repetitive hand motion activities and at night
- Clinical tests include Tinel test (sign), carpal compression test, and Phalen maneuver.
- Compression test is the most sensitive test
- Diagnostic imaging is not necessary to make a diagnosis of CTS
- Electrodiagnostic tests
- can be used to confirm the diagnosis
- not needed to initiate or direct early treatment in most patients
- should be done before surgery.
- Treatment includes modifying activities, splint, nerve gliding exercises, medication, and surgery.
- Outcomes of surgery are excellent
- Open and endoscopic techniques are associated with equivalent long-term results.
Reference: Textbook of Family Medicine (Rakel), Chapter 30: common issues in orthopedics: pages 659-660
Recommended for residents of family medicine and medical students.
Type: Prezi form
Learning method: Dual Presentation Learning (DPL)