Carpal tunnel syndrome

Carpal tunnel syndrome

The first description of case of severe disturbances of a
trophism and function of a hand at fracture of a radius in
typical place has made Paget in 1870.
The syndrome is stipulated by compression of tendons and
a median nerve in the carpal tunnel.
The causes - 78% Compression of
a median nerve
Malunion fracture of the
radius in typical place
Fractures and dislocations
of wrists bones
a pain and (or)
numbness
 tunnel
median nerve tendons
Carpal tunnel
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 clinical picture
Pain in the hand. It can irradiate to the forearm
and fingers
Paresthesia, numbness in the zone of
innervation of the median nerve in rest and,
especially, after sleep.
Disorder of function of the hand
Vegetodistrophic disorders: moderate
vasomotor reaction acrocyanosis,
hyperhydrosis hypo- and anhydrosis
 diagnostic tests
Test of a flexion of the hand: the passive maximal flexion of
a hand and fixation of it in this position during 1 minute result
in paresthesia I - II fingers
Test of an erect hand: the elevation and retention of both
hands in this position during 1 minute result in paresthesia in
the diseased hand
Test of tourniquet: pneumatic tourniquet during 1 minute
numbness and paresthesia
Tinnels Test: percussion of a carpal tunnel paresthesia of
the fingers, irradiation to antecubital fossa
Test of local compression: pressure by a finger on the
carpal tunnel during 1 minute paresthesia in the zone of
innervation of the medial nerve

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