Carpal tunnel syndrome – Part I (anatomy, physiology, etiology and diagnosis)

Carpal tunnel syndrome (CTS) is defined by compression of the median nerve in the wrist. It is the commonest of the compressive syndromes and its most frequent cause is idiopathic. Even though spontaneous regression is possible, the general rule is that the symptoms will worsen. The diagnosis is pri...

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Veröffentlicht in:Revista brasileira de ortopedia 2014-09, Vol.49 (5), p.429-436
Hauptverfasser: Chammas, Michel, Boretto, Jorge, Burmann, Lauren Marquardt, Ramos, Renato Matta, dos Santos Neto, Francisco Carlos, Silva, Jefferson Braga
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Sprache:eng
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Zusammenfassung:Carpal tunnel syndrome (CTS) is defined by compression of the median nerve in the wrist. It is the commonest of the compressive syndromes and its most frequent cause is idiopathic. Even though spontaneous regression is possible, the general rule is that the symptoms will worsen. The diagnosis is primarily clinical, from the symptoms and provocative tests. Electroneuromyographic examination may be recommended before the operation or in cases of occupational illnesses. A síndrome do túnel do carpo (STC) é definida pela compressão do nervo mediano no punho. É a mais frequente das síndromes compressivas e a causa mais frequente é a idiopática. Ainda que as regressões espontâneas sejam possíveis, o agravamento dos sintomas é a regra. O diagnóstico é, acima de tudo, clínico pelos sintomas e testes provocativos. Um exame eletroneuromiográfico pode ser recomendado no pré-operatório ou em caso de doença laboral.
ISSN:2255-4971
1982-4378
2255-4971
DOI:10.1016/j.rboe.2014.08.001