CARPAL TUNNEL SYNDROME
DR AMALOURDE RAJ
Introduction
• Nerve Entrapment• Middle or
Advanced age• > 40 yrs (>80%)• 2x in women• ?Occupational
Disease
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
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
Two Incision Surgery
Two Incision Surgery
Single Incision Surgery