Carpal Tunnel Syndrome: Difference between revisions
mNo edit summary |
mNo edit summary |
||
| Line 23: | Line 23: | ||
== Diagnostic Procedures == | == Diagnostic Procedures == | ||
Median nerve conduction study and EMG study are two diagnostic test that can be performed to diagnosis CTS. <br>Tinel’s sign and Phalen’s test are two special test that can be performed in the clinic to help diagnose. Wainner et al developed a clinical perdiction rule to help test for the presence of CTS. The rule consist of 5 predictor variables: Age greater than 45, patient reports shaking hands relieves symptoms, wrist ratio index >.67, reduced median sensory field of the first digit, and Symptom Severity Scale score >1.9. | Median nerve conduction study and EMG study are two diagnostic test that can be performed to diagnosis CTS. <br>Tinel’s sign and Phalen’s test are two special test that can be performed in the clinic to help diagnose. Wainner et al developed a clinical perdiction rule to help test for the presence of CTS. The rule consist of 5 predictor variables: Age greater than 45, patient reports shaking hands relieves symptoms, wrist ratio index >.67, reduced median sensory field of the first digit, and Symptom Severity Scale score >1.9.<ref>Flynn et al.</ref> | ||
== <br>Outcome Measures<br> == | == <br>Outcome Measures<br> == | ||
Revision as of 03:19, 30 June 2009
Be the first to edit this page and have your name permanently included as the originating editor, see the editing pages tutorial for help.
|
Original Editor - Your name will be added here if you created the original content for this page. Lead Editors - If you would like to be a lead editor on this page, please contact us. |
Clinically Relevant Anatomy
[edit | edit source]
add text here relating to clinically relevant anatomy of the condition
Mechanism of Injury / Pathological Process
[edit | edit source]
Carpal Tunnel Syndrome (CTS) is a cause of functional impairment and chronic wrist pain of the hand. It results from compression of the median nerve as it passes through the carpal tunnel. An increase in synovial fluid pressure and tendon tension can cause compression of the median nerve in the carpal tunnel.
The compression of the median nerve may results from numerous factors, several of which can easily be remembered by using the mnemonic PRAGMATIC: Pregnancy secondary to fluid retension, Renal dysfunction, Acromegaly, Gout and pseudogout, Myxedema or mass, Amyotrophy, Trauma, Infection, and Collagen disorders.[1]
Clinical Presentation[edit | edit source]
The clinical features of this syndrome include intermittent pain and paresthesias in median nerve distribution of the hand, muscle weakness, and night pain
Diagnostic Procedures[edit | edit source]
Median nerve conduction study and EMG study are two diagnostic test that can be performed to diagnosis CTS.
Tinel’s sign and Phalen’s test are two special test that can be performed in the clinic to help diagnose. Wainner et al developed a clinical perdiction rule to help test for the presence of CTS. The rule consist of 5 predictor variables: Age greater than 45, patient reports shaking hands relieves symptoms, wrist ratio index >.67, reduced median sensory field of the first digit, and Symptom Severity Scale score >1.9.[2]
Outcome Measures
[edit | edit source]
Outcome Measures Symptom Severity Scale
DASH - Disability of arm, shoulder and hand
Management / InterventionsConservative[edit | edit source]
Managment includes use of splints, activity modification, pt education, diuretics, and NSAIDs
Differential Diagnosis
[edit | edit source]
Differential diagnosis for CTS includes cervical radiculopathy, thoracic outlet syndrome, pronator syndrome, wrist joint arthritis, tendonitis, and fibrositis.[3]
Key Evidence[edit | edit source]
add text here relating to key evidence with regards to any of the above headings
Resources [edit | edit source]
Dutton, M. Orthopaedic examination, evaluation, and intervention. New York: McGraw Hill; 2004.
Flynn TW, Cleland JA, Whitman JM. Users' guide to the musculoskeletal examination. Fundamentals for the evidence-based clinician. United States:Evidence in Motion; 2008.
Case Studies[edit | edit source]
add links to case studies here (case studies should be added on new pages using the case study template)
References[edit | edit source]
References will automatically be added here, see adding references tutorial.
| The content on or accessible through Physiopedia is for informational purposes only. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. Read more. |
