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Carpal tunnel

syndrome

Presented by Pavan Gaurav R


Causes
Demographics
Increasing age
Female sex
Increased body mass index (BMI), especially
a recent increase

Square-shaped wrist
Short stature
Dominant hand
Race (white)
Causes
Medical conditions
Wrist fracture (Colles)

Acute, severe flexion/extension Injury of wrist

Space-occupying lesions within the carpal


tunnel (eg, flexor tenosynovitis, ganglions,
hemorrhage, aneurysms, anomalous muscles,
various tumors, edema)
Diabetes
Thyroid disorders (usually myxedema)

Rheumatoid arthritis and other inflammatory


arthritides of the wrist

Recent menopause(including post-


oophorectomy)[1]
Renal dialysis
Investigations
CLINICAL DIAGNOSIS
Treatment
Medical
Treatment
Medical

NSAIDs: Ibuprofen
Diclofenac
Indomethacin
CORTICOSTEROID injection
Treatment
Surgical

CARPAL TUNNEL RELEASE


Dupuytrens
contracture
Dupuytrens contracture
A condition characterized by flexion deformity
of one or more fingers due to a thickening and
shortening of palmar aponeurosis
Palmar aponeurosis
Grades of severity

Grade 1 - Thickened nodule and band in the


palmar aponeurosis; may have associated skin
abnormalities

Grade 2 - Development of pretendinous and


digital cords with limitation of finger extension

Grade 3 - Presence of flexion contracture


Grades of severity
Treatment
Elderly patient with mild deformity may not
need treatment

Subtotal excision of affeccted palmar


aponeurosis

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