carpal tunnel -surag khadka. contents anatomy borders and contents carpal tunnel syndrome causes...

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Carpal Tunnel -Surag Khadka

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Page 1: Carpal Tunnel -Surag Khadka. Contents Anatomy Borders and Contents Carpal Tunnel Syndrome Causes Signs and Symptoms Diagnostic tests Management and Treatment

Carpal Tunnel-Surag Khadka

Page 2: Carpal Tunnel -Surag Khadka. Contents Anatomy Borders and Contents Carpal Tunnel Syndrome Causes Signs and Symptoms Diagnostic tests Management and Treatment

Contents

• Anatomy• Borders and Contents

• Carpal Tunnel Syndrome• Causes

• Signs and Symptoms

• Diagnostic tests

• Management and Treatment

Page 3: Carpal Tunnel -Surag Khadka. Contents Anatomy Borders and Contents Carpal Tunnel Syndrome Causes Signs and Symptoms Diagnostic tests Management and Treatment

Anatomy; Border• 8 Carpal Bones

• So Long To Pinkie, Here Comes The Thumb

HH

P ST

TT

2 cm distal to the distal wrist crease

FR

Page 4: Carpal Tunnel -Surag Khadka. Contents Anatomy Borders and Contents Carpal Tunnel Syndrome Causes Signs and Symptoms Diagnostic tests Management and Treatment

Anatomy; Contents

• Contents of Carpal Tunnel?• 4X FDS

• 4X FDP

• FPL

• Median Nerve

Page 5: Carpal Tunnel -Surag Khadka. Contents Anatomy Borders and Contents Carpal Tunnel Syndrome Causes Signs and Symptoms Diagnostic tests Management and Treatment

Carpal Tunnel Syndrome

• Compression of Median nerve in the carpal tunnel

Page 6: Carpal Tunnel -Surag Khadka. Contents Anatomy Borders and Contents Carpal Tunnel Syndrome Causes Signs and Symptoms Diagnostic tests Management and Treatment

Causes

• MEDIAN TRAP• Myxoedema

• “Edema”

• Diabetes

• Idiopathic

• Acromegaly

• Neoplasm

• Trauma

• RA

• Amyloidosis

• Pregnancy

Page 7: Carpal Tunnel -Surag Khadka. Contents Anatomy Borders and Contents Carpal Tunnel Syndrome Causes Signs and Symptoms Diagnostic tests Management and Treatment

Signs and Symtoms

• Numbness

• Tingling/Burning

• Pain

• Loss of grip

• Thenar wasting

• Waking at night

Page 8: Carpal Tunnel -Surag Khadka. Contents Anatomy Borders and Contents Carpal Tunnel Syndrome Causes Signs and Symptoms Diagnostic tests Management and Treatment

Diagnostic tests• Phalen’s test

• Tinel’s test

• Durkan’s test

Page 9: Carpal Tunnel -Surag Khadka. Contents Anatomy Borders and Contents Carpal Tunnel Syndrome Causes Signs and Symptoms Diagnostic tests Management and Treatment

Management and Treatment

• Physiotherapy (splints/braces)

• Steroids (orally/SubCut)

• Surgical release