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[Carpal tunnel syndrome and other nerve entrapment syndromes]. | LitMetric

[Carpal tunnel syndrome and other nerve entrapment syndromes].

Rev Prat

Service de chirurgie de la main et des nerfs périphériques, centre de chirurgie orthopedique et de la main, 67403 llkirch Cedex, France.

Published: November 2013

The carpal tunnel syndrome is the most common entrapment syndrome of the upper limb. Compression of the median nerve is most often idiopathic and typically occurs in women aged 50. The diagnosis is clinical and must look for signs of gravity (hypoesthesia, thenar atrophy). The electromyogram is not required but recommended for surgical indication, It assesses the severity of the disease and identifies other injury. Conservative treatment is available in the beginner to moderate forms. In case of failure of this treatment or with severe objective signs, treatment is surgical. The ulnar nerve at the elbow comes in the second position of the upper limb entrapment syndromes. Clinical examination looks for signs of serious problems with objectives symptoms. Treatment is usually surgical.

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