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Carpal tunnel syndrome (CTS) is a nerve compression syndrome associated with the collected signs and symptoms of compression of the median nerve at the carpal tunnel in the wrist. Carpal tunnel syndrome usually has no known cause, but there are environmental and medical risk factors associated with the condition.
The development of carpal tunnel syndrome was of particular interest for other idiopathic tardy nerve palsies. Carpal tunnel served as a model for how nerves could be squeezed by narrow anatomic compartments and soon other tunnel syndromes were conceptualized, such as cubital tunnel syndrome, and tarsal tunnel syndrome. [87] [88] [83]
Carpal tunnel syndrome (CTS) is caused by compression of the median nerve as it passes under the carpal tunnel. [11] Nerve conduction velocity tests through the hand are used to diagnose CTS. Physical diagnostic tests include the Phalen maneuver or Phalen test and Tinel's sign. To relieve symptoms, patients may describe a motion similar to ...
Tendinopathy in the wrist (extensor) or thumb (De Quervain syndrome) Inflammatory arthritis; Rheumatoid arthritis; The hallmark symptom of carpal tunnel syndrome is tingling (paresthesia), which is not commonly associated with pain. [2] Ulnar nerve entrapment at Guyon's canal causes weakness in specific muscles, but is not typically painful. [2]
Anterior interosseous syndrome is a medical condition in which damage to the anterior interosseous nerve (AIN), a distal motor and sensory branch of the median nerve, classically with severe weakness of the pincer movement of the thumb and index finger, and can cause transient pain in the wrist (the terminal, sensory branch of the AIN innervates the bones of the carpal tunnel).
Examples of conditions that may sometimes be attributed to such causes include tendinosis (or less often tendinitis), carpal tunnel syndrome, cubital tunnel syndrome, De Quervain syndrome, thoracic outlet syndrome, intersection syndrome, golfer's elbow (medial epicondylitis), tennis elbow (lateral epicondylitis), trigger finger (so-called ...
This is called nerve entrapment. Nerve entrapment most frequently occurs at the wrist (carpal tunnel syndrome) and elbow (ulnar nerve entrapment). A rare form of nerve disease in patients with rheumatoid arthritis that causes numbness and/or tingling is neuropathy.
Carpal tunnel syndrome cannot be cured, but surgery to alleviate symptoms can be successful. Success is greatest in patients with the most typical symptoms. The most common cause of failure is incorrect diagnosis, and this surgery will only mitigate carpal tunnel syndrome, and will not relieve symptoms with alternative causes.