CARPAL TUNNEL SYNDROME:
• Compression of median nerve in carpal tunnel at wrist.
• Wasting of thenar eminence (ape like hand)
• Hypoesthesia to light touch palmar aspect of lateral 3 and ½ digits.
• FORMENT’S SIGN positive.
• PAPER HOLDING TEST: unable to hold.
• MOTOR CHANGES: ape thumb deformity -loss of opposition of thumb.
• SENSORY CHANGES: loos of sensation on lateral 3 ½ digits.
• VASOMOTOR CHANGES: skin areas are warmer and drier.
• TROPHIC CHANGES: Long standing cases of paralysis lead to dry and scaly skin.
• The nails crack easily with atrophy of pulp of fingers.
• Both in male and female between age of 25 and 70.
• Intermittent attacks of pain in distribution of median nerve.
• More common due to excessive working in computer.
• Phalen’s test positive.
• Complete claw hand present.
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