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| Carpal tunnel syndrom |
Carpal tunnel syndrom
Charctrsd by comresion of median nerve as it passes beneath flxr retinaculum.Causes:-
Any space ocupying lesion of carpal tunel may b rsponsbli) Inflamtry-rheumatoid arthritis,wrist osteoarthritis
ii) Posttraumatic-bone thickning aftr Colle's#
iii) Endocrine- myxoedma,acromgaly
iv)Idiopathic-commonest cause
C/F
Pt is genrly midle aged woman complaining of tingling, numbnes or discomfort in thumb & radial one & half fingers i.e in median distri.Tingling more prominent during sleep. Feeling of clumsiness in carying out fine movts.
*On exam.
features of low median nerve compresion r found. Nerve conduction studies show dlayed/absent conductn of impulses in median nerve acros wrist
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