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Hand & Upper Limb
intermediate
X-Type

Carpal Tunnel Syndrome Management

Peripheral Nerve

A 52-year-old woman presents with 6 months of numbness and tingling in her right thumb, index, middle, and radial half of the ring finger. Symptoms wake her at night and are relieved by shaking her hand. She has noticed weakness when buttoning her shirt. On examination, there is thenar muscle wasting and positive Phalen and Tinel tests. Regarding carpal tunnel syndrome:

Mark each as TRUE or FALSE

A

Carpal tunnel syndrome is median nerve compression at the wrist; the carpal tunnel contains nine ten...

B

Clinical features: sensory symptoms in median nerve distribution (thumb, index, middle, radial ring ...

C

The ulnar nerve is compressed in carpal tunnel syndrome; the entire palm is always numb; thenar wast...

D

Nerve conduction studies show prolonged distal motor latency (greater than 4.2ms) and sensory latenc...

E

Carpal tunnel release can be open (standard longitudinal incision, direct visualization) or endoscop...

Answer the questions to see explanations

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