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Chapter 18 - Carpal Tunnel Syndrome

from Part V - Extremities

Published online by Cambridge University Press:  01 December 2023

Omar Viswanath
Affiliation:
Creighton University, Omaha
Ivan Urits
Affiliation:
Southcoast Brain & Spine Center, Wareham
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Summary

Carpal tunnel syndrome (CTS) is the most common cause of peripheral entrapment neuropathy in the United States. It is prevalent in approximately 3% of the American adult population and up to 30% in diabetics with coexisting peripheral neuropathy. Measuring median nerve diameter with ultrasound is a viable alternative to nerve conduction studies when diagnosing CTS. Wrist-splinting, physical therapy, and shock-wave therapy are all possible first-line treatments for mild to moderate CTS. LCI benefits pain and functionality in the short term with only a single injection. Endoscopic decompression surgery is still the gold standard treatment for patients with moderate to severe CTS that is refractory to other treatments.

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Publisher: Cambridge University Press
Print publication year: 2023

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