Nerve Compression
A 52-year-old woman presents with 6 months of numbness and tingling in her right hand that wakes her at night. She reports dropping objects and clumsiness with fine motor tasks. The symptoms are worse when driving or holding a book. Examination reveals decreased sensation in the thumb, index, and middle fingers, a positive Phalen test at 30 seconds, and subtle thenar wasting. Nerve conduction studies show prolonged median nerve distal latency. Regarding carpal tunnel syndrome:
Mark each as TRUE or FALSE
Carpal tunnel syndrome is median nerve compression at the wrist beneath the transverse carpal ligame...
Clinical tests include Phalen test (sustained wrist flexion reproduces symptoms within 60 seconds), ...
Carpal tunnel is caused by ulnar nerve compression; sensation to the thenar eminence is affected; th...
Risk factors include pregnancy, diabetes, hypothyroidism, rheumatoid arthritis, obesity, and repetit...
Conservative treatment includes wrist splinting in neutral (especially at night), activity modificat...
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Click T (True) or F (False) for each option