Carpal tunnel syndrom

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 rsponsbl
i) 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

Rx

dividing flxr retinaculum & thus decompres nerve