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Hand & Upper Limb
intermediate
X-Type

Carpal Tunnel Syndrome - Diagnosis and Surgical Management

Nerve Compression

A 52-year-old woman presents with a 6-month history of nocturnal paresthesia in her right thumb, index, and middle fingers. She reports waking at night and shaking her hand for relief ("flick sign"). Examination reveals decreased sensation in the median nerve distribution and early thenar wasting. She asks about treatment options. Regarding carpal tunnel syndrome:

Mark each as TRUE or FALSE

A

Carpal tunnel syndrome is the most common compression neuropathy with 3-6% population prevalence; th...

B

Nocturnal paresthesia with the flick sign (shaking hand for relief) is virtually diagnostic; Durkan'...

C

The palmar cutaneous branch of the median nerve passes through the carpal tunnel, so palmar sensatio...

D

Nerve conduction studies are the gold standard for diagnosis, showing prolonged distal motor latency...

E

Carpal tunnel release (open or endoscopic) has 95% success rate; endoscopic CTR provides faster reco...

Answer the questions to see explanations

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