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Hand & Upper Limb
intermediate
X-Type

Carpal Tunnel Syndrome

Nerve Compression

A 52-year-old woman presents with 6 months of nocturnal numbness and tingling in her right thumb, index, and middle fingers. She frequently wakes at night and shakes her hand for relief. On examination, there is decreased sensation in the median nerve distribution and early thenar wasting. Phalen's and Tinel's tests are positive. Regarding carpal tunnel syndrome:

Mark each as TRUE or FALSE

A

Carpal tunnel syndrome results from median nerve compression beneath the flexor retinaculum (transve...

B

Symptoms include nocturnal paresthesias (thumb, index, middle, and radial half of ring finger), pain...

C

Carpal tunnel syndrome involves ulnar nerve compression; the tunnel contains 12 tendons; symptoms im...

D

Clinical tests include Phalen's test (wrist flexion for 60 seconds reproduces symptoms), Tinel's sig...

E

Conservative treatment includes night splinting in neutral position, activity modification, and cort...

Answer the questions to see explanations

Click T (True) or F (False) for each option