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md:carpal_tunnel_syndrome
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
md/carpal_tunnel_syndrome.txt · Last modified: 2020/09/02 05:24 by admin
