A pregnant woman aged 30 years after trauma feeling tingling pain and numbness at the tips of thumb , index finger and middle finger, on examination doctor presses between the wrist joint for 30 seconds and the patient de- velops more pain at the tips of the middle ,index finger and thumb. What is the diagnosis
Ans. (a) Carpal tunnel syndromeRef: Maheshwari 5th ed. / 303Entrapment SyndromeNerve involvedCarpal tunnel syndrome aka Pronator syndromeMedian nerve (at wrist)Median nerve (proximally compressed beneath - ligament of struthers, bicipital aponeurosis or origins of pronator teres or flexor digitorum superficialisCubital tunnel syndrome/ Guyon's canal syndromeUlnar nerve (between two heads of flexor carpi ulnaris or arcade of struthers)Ulnar nerve (at wrist)Tarsal tunnel syndromePosterior tibial nerve (behind & below medial malleolus)Thoracic outlet syndromeLower trunk of brachial plexus, (C8 & Tl) & subclavian vessels (between clavicle & first rib)Meralgia parastheticaLateral cutaneous nerve of thighMorton's metatarsalgiaInterdigital nerve compression (usually of 3rd, 4th toe)
Carpal tunnel syndrome
Cubital tunnel syndrome
Tarsal tunnel syndrome
Pronator syndrome
Peripheral Nerve Injuries