===== Carpal Tunnel Syndrome==== ====Physical findings==== ===Wasting=== * thenars, sometimes only APB ===Sensory loss=== * 'palmar triangle' and sparing reasons - not served by PCBMN or PCMBN deep to retinaculum ===Tinel's sign=== * Mark carpal tunnel area * Used middle / IF-MF / tendon tapper to tap over the area * elicit paresthesiae / electric current * sometimes it is proximal to carpal tunnel ===Durkan's test=== * Most sensitive (according to McRae) ===Phalen's test=== * 2 ways to do it * do it first before reverse Phalen'sensitive * a timed test may be helpful ===Reverse Phalen's test=== ===APB testing=== * make or break test * why APB ===Appearance of median nerve at surgery=== * constricted * hyperemic