Digital ulcers as the first manifestation of carpal tunnel syndrome

Carpal tunnel syndrome as a manifestation of systemic disease.

The syndrome of compression of the median nerve in the carpal tunnel produces well-defined symptoms and signs. Often there is electromyographic evidence of impaired neural conduction at the level of the wrist. The clinical features of the syndrome have been described clearly by Garland, Bradshaw, and Clark (1957) and by Phalen and Kendrick (1957). To appreciate the many aetiological factors whi...

Digital flexion contracture and severe carpal tunnel syndrome due to tophaceus infiltration of wrist flexor tendon: first manifestation of gout.

The authors report an unusual case of flexor tenosynovitis, severe carpal tunnel syndrome, and triggering at the carpal tunnel as the first manifestation of gout. A 69-year-old man presented with digital flexion contracture and severe carpal tunnel syndrome of his right hand and was treated surgically. A flexor tenosynovectomy and a median nerve neurolysis were performed through an extended car...

The carpal tunnel syndrome.

The carpal tunnel is a channel with fibroosseous walls leading from the deep flexor space of the forearm into the palm of the hand. Superficially it is bounded by the flexor retinaculum which stretches from the trapezium and scaphoid laterally to the pisiform and hamate medially. This tough sheet blends proximally with the deep fascia of the forearm and distally with the palmar aponeurosis. The...

[The carpal tunnel syndrome].

ACUPUNCTURE AND CARPAL TUNNEL SYNDROME About carpal tunnel syndrome

Carpal tunnel syndrome comprises potentially disabling sensory and/or motor symptoms in the hand. Around 1 in 10 people develop carpal tunnel syndrome at some point, and it is particularly common in women (Hughes 2007), with one study in the UK indicating an incidence of 139.4 cases per 100,000 women per year and 67.2 cases per 100,000 men (Bland 2003). The condition carries considerable implic...