Nerve Compression
A 35-year-old female assembly line worker presents with 4 months of vague aching pain in her proximal volar forearm exacerbated by repetitive pronation-supination activities. She also reports numbness in her thumb, index, and middle fingers. Symptoms are worse during work and not specifically nocturnal. Physical examination reveals tenderness over the proximal forearm, and symptoms are reproduced by resisted pronation with the elbow extended. Phalen's and Tinel's tests at the wrist are negative. There is no weakness of thumb opposition. Regarding pronator syndrome:
Mark each as TRUE or FALSE
Pronator syndrome is median nerve compression in the proximal forearm with potential compression sit...
Clinical features distinguishing pronator syndrome from carpal tunnel syndrome include: proximal for...
Pronator syndrome always shows abnormal nerve conduction studies across the elbow; EMG findings are ...
Provocative tests help localize the compression site: pain with resisted elbow flexion and forearm s...
Initial treatment is conservative with activity modification, NSAIDs, splinting, and ergonomic chang...
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