Carpal tunnel syndrome - Part I (anatomy, physiology, etiology and diagnosis)
- PMID: 26229841
- PMCID: PMC4487499
- DOI: 10.1016/j.rboe.2014.08.001
Carpal tunnel syndrome - Part I (anatomy, physiology, etiology and diagnosis)
Abstract
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.
Keywords: Carpal tunnel syndrome/diagnosis; Carpal tunnel syndrome/etiology; Carpal tunnel syndrome/physiopathology; Median nerve.
References
-
- Paget J. The first description of carpal tunnel syndrome. J Hand Surg Eur. 2007;32:195–197. - PubMed
-
- Marie P., Foix C. Atrophie isolée de l’éminence thénar d’origine névritique. Rôle du ligament annulaire du carpe dans la pathogénie de la lésion. Rev Neurol. 1913;26:647–649.
-
- Phalen G.S. The carpal-tunnel syndrome. Seventeen years’ experience in diagnosis and treatment of six hundred fifty-four hands. J Bone Joint Surg Am. 1966;48(2):211–228. - PubMed
-
- Atroshi I., Gummesson C., Johnsson R., Ornstein E., Ranstam J., Rosén I. Prevalence of carpal tunnel syndrome in a general population. JAMA. 1999;282(2):153–158. - PubMed
-
- Tuppin P., Blotiere P.O., Weill A., Ricordeau P., Allemand H. Syndrome du canal carpien opere en France en 2008: caracteristiques des malades et de leur prise en charge. Rev Neurol (Paris) 2011;167(12):905–915. - PubMed
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