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CARPAL TUNNEL SYNDROME DR AMALOURDE RAJ

CARPAL TUNNEL SYNDROME DR AMALOURDE RAJ. Introduction. Nerve Entrapment Middle or Advanced age > 40 yrs (>80%) 2x in women ?Occupational Disease. Anatomy. PRAGMATIC P = Pregnancy R= Rheumatoid Art A= Arthritis G= Gr Hor Abnorm M= Metabolic A= Alcoholism T= Tumours/Trauma

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CARPAL TUNNEL SYNDROME DR AMALOURDE RAJ

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  1. CARPAL TUNNEL SYNDROMEDR AMALOURDE RAJ

  2. Introduction • Nerve Entrapment • Middle or Advanced age • > 40 yrs (>80%) • 2x in women • ?Occupational Disease

  3. Anatomy

  4. PRAGMATIC P = Pregnancy R= Rheumatoid Art A= Arthritis G= Gr Hor Abnorm M= Metabolic A= Alcoholism T= Tumours/Trauma I = Idiopathic C= Conn Tis Disorder Risk Factors Force Posture Wrist Alignment Repetition Vibration Smoking Obesity Caffeine intake Causes

  5. Symptoms

  6. Symptoms

  7. Diagnosis Tinel’s sign Phalen’s test Direct median nerve compression test

  8. Investigation • Lab study • X-Ray • Nerve conduction study

  9. Treatment Non Surgical NSAIDS Wrist brace Cortisone injection

  10. Treatment Open Release Endoscopic Release

  11. Open Surgery

  12. Open Surgery

  13. Two Incision Surgery

  14. Two Incision Surgery

  15. Single Incision Surgery

  16. Thank You

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