Carpal Tunnel Syndrome (Subscribe)

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A new tool for mini-open carpal tunnel release-the PSU retractor

Mini-open carpal tunnel release using Senn retractor has been increasingly popular for treatment of carpal tunnel surgery. The main advantages are shortening the recovery and return-to-work time. However, the risk of neurovascular injury still remains worrisome.
In this study, we developed a new retractor (herein called the PSU retractor) modified from the widely used Senn retractor, with the aim of decreasing the risk of neurovascular problems from this procedure.
Sunton Wongsiri , Porames Suwanno , Boonsin Tangtrakulwanich , Varah Yuenyongviwat and Ekkarin Wongsiri BMC Musculoskeletal Disorders 2008, 9:126 Full text available

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Carpal and Cubital Tunnel Syndromes Referral Guidelines MAMC

Madison Army Medical Center Referral Guidelines. Carpal and Cubital Tunnel (Neuropathic Entrapment) Syndromes Pain, loss of strength or sensory changes (paresthesias) in the distribution of the median or ulnar nerves not associated with neck pain.

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Carpal Tunnel Syndrome eMedicine Emergency

Carpal tunnel syndrome (CTS) is a compressive neuropathy of the median nerve at the wrist. The carpal tunnel is located at the base of the palm and is bounded on 3 sides by carpal bones and anteriorly by the transverse carpal ligament. Inside run the median nerve, flexor tendons, and their synovial sheaths.
Synonyms and related keywords: CTS, median nerve compression at the wrist, carpal tunnel syndrome, compressive neuropathy, median nerve, peripheral compressive neuropathy, hand weakness, numbness in the hand, thenar atrophy, hand pain, wrist pain
Norvell & Steele 2007

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Carpal Tunnel Syndrome eMedicine Orthopedics

Carpal tunnel syndrome (CTS) is the most commonly diagnosed and treated entrapment neuropathy. The syndrome is characterized by pain, paresthesia, and weakness in the median nerve distribution of the hand. Surgical and nonsurgical treatments exist that can produce excellent outcomes for patients.
Synonyms and related keywords: CTS, median nerve compression at the wrist, double crush syndrome, carpal canal, median nerve
Author: David A Fuller, MD 2008

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Carpal Tunnel Syndrome eMedicine PMR

Carpal tunnel syndrome (CTS) is a collection of characteristic symptoms and signs that occurs following entrapment of the median nerve within the carpal tunnel. Usual symptoms include numbness, paresthesias, and pain in the median nerve distribution. These symptoms may or may not be accompanied by objective changes in sensation and strength of median-innervated structures in the hand.
Synonyms and related keywords: carpal tunnel syndrome, CTS, median neuropathy at the wrist, median nerve entrapment at the wrist, cumulative trauma disorder, repetitive strain injury
Author: Nigel L Ashworth, MBChB, MSc, FRCPC 2006

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Carpal Tunnel Syndrome eMedicine Radiolog

Carpal tunnel syndrome CTS is defined as the impairment of motor and/or sensory function of the median nerve as it traverses through the carpal tunnel. It is caused either by intrinsic swelling of the median nerve or by extrinsic compression of the median nerve by one of the many surrounding structures of the wrist.
Author: Patrick Browning, MD

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Carpal Tunnel Syndrome Wheeless


- median nerve compression syndrome at the wrist;
- most common form of nerve entrapment;
- first described by Paget;
- references: The First Description of Carpal Tunnel Syndrome. James Paget FRS
- pathophysiology:
- nerve compression may result in ischemia, focal demyelination, decrease in axonal caliber, and finally axonal loss;
Wheeless' Textbook of Orthopaedics

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