CARPAL TUNNEL SYNDROME

DR AMALOURDE RAJ

Introduction

• Nerve Entrapment• Middle or

Advanced age• > 40 yrs (>80%)• 2x in women• ?Occupational

Disease

Anatomy

CausesPRAGMATIC

• P = Pregnancy• R= Rheumatoid Art• A= Arthritis• G= Gr Hor Abnorm• M= Metabolic• A= Alcoholism• T= Tumours/Trauma• I = Idiopathic• C= Conn Tis Disorder

Risk FactorsForce Posture Wrist Alignment

Repetition Vibration

• Smoking• Obesity

• Caffeine intake

Symptoms

Symptoms

Diagnosis

Tinel’s sign

Phalen’s test

Direct median nerve compression test

Investigation

• Lab study• X-Ray• Nerve conduction

study

Treatment

Non Surgical

NSAIDSWrist brace

Cortisone injection

TreatmentOpen Release

Endoscopic Release

Open Surgery

Open Surgery

Two Incision Surgery

Two Incision Surgery

Single Incision Surgery