Carpal Tunnel Syndrome-Carpal Tunnel Overview

Carpal Tunnel Overview

Pdf Summary

Chapter 16b discusses peripheral nerve conditions, specifically nerve compressions. The chapter focuses on carpal tunnel syndrome, the most common compression neuropathy in the upper extremity. Carpal tunnel syndrome is caused by compression of the median nerve in the carpal tunnel, resulting in sensory and motor symptoms such as tingling, numbness, weakness, and paralysis. The chapter also mentions other peripheral nerve compressions, but emphasizes that carpal tunnel syndrome and cubital tunnel syndrome (ulnar nerve compression at the elbow) are the most common.<br /><br />The diagnosis of carpal tunnel syndrome is typically clinical but can be confirmed and assessed using electrodiagnostic studies. Treatment for carpal tunnel syndrome begins with nonoperative measures such as activity modification, orthoses, and NSAIDs. Corticosteroid injections may also be used. If nonoperative management fails or the condition is advanced, surgical intervention, such as carpal tunnel release, is recommended.<br /><br />The chapter also briefly discusses anterior interosseous nerve palsy, another compression neuropathy that affects the median nerve in the forearm. This condition is characterized by weakness or paralysis of certain muscles without sensory loss. Treatment options for anterior interosseous nerve palsy include nonoperative management and surgical exploration of the median nerve in the forearm.<br /><br />Overall, the chapter provides an overview of nerve compressions in the upper extremity, focusing on carpal tunnel syndrome and anterior interosseous nerve palsy. It highlights the importance of understanding the anatomy, pathophysiology, and clinical presentation of these conditions for accurate diagnosis and appropriate treatment.

Keywords

peripheral nerve conditions

nerve compressions

carpal tunnel syndrome

compression neuropathy

upper extremity

median nerve

sensory and motor symptoms

cubital tunnel syndrome

nonoperative measures

surgical intervention