carpal tunnel syndrome dr amalourde raj
DESCRIPTION
CARPAL TUNNEL SYNDROME DR AMALOURDE RAJ. Introduction. Nerve Entrapment Middle or Advanced age > 40 yrs (>80%) 2x in women ?Occupational Disease. Anatomy. PRAGMATIC P = Pregnancy R= Rheumatoid Art A= Arthritis G= Gr Hor Abnorm M= Metabolic A= Alcoholism T= Tumours/Trauma - PowerPoint PPT PresentationTRANSCRIPT
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
DiagnosisTinel’s sign
Phalen’s test
Direct median nerve compression test
Investigation• Lab study• X-Ray• Nerve conduction
study
TreatmentNon Surgical
NSAIDSWrist brace
Cortisone injection
TreatmentOpen Release Endoscopic Release
Open Surgery
Open Surgery
Two Incision Surgery
Two Incision Surgery
Single Incision Surgery
