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Research Article

Carpal tunnel syndrome: modern diagnostic and management techniques.

N Kanaan and R A Sawaya
British Journal of General Practice 2001; 51 (465): 311-314.
N Kanaan
Department of Family Medicine, American University Medical Center, POB 113-6044/B-31, Beirut, Lebanon. nvkanaan@destination.com.lb
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R A Sawaya
Department of Family Medicine, American University Medical Center, POB 113-6044/B-31, Beirut, Lebanon. nvkanaan@destination.com.lb
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Abstract

Carpal tunnel syndrome is a common disorder characterised by the classical symptoms of numbness and paraesthesiae along the distribution of the median nerve. Thenar muscle weakness is a late manifestation of advanced disease. Tinel's and Phalen's signs are helpful in suggesting the diagnosis. The symptoms and signs arise from entrapment of the median nerve. Electrophysiological tests are helpful in confirming the diagnosis and magnetic resonance imaging may be used in the diagnosis of atypical cases. Ergonomic manoeuvers and steroid injections may alleviate symptoms in mild cases. Surgery is reserved for severe cases and those who do not respond to conservative therapy. Open carpal tunnel release is the classical surgery with usually excellent results. Endoscopic carpal tunnel release surgery was introduced to decrease the morbidity of open surgery. This latter technique also has its complications and is still being refined.

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British Journal of General Practice: 51 (465)
British Journal of General Practice
Vol. 51, Issue 465
April 2001
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Carpal tunnel syndrome: modern diagnostic and management techniques.
N Kanaan, R A Sawaya
British Journal of General Practice 2001; 51 (465): 311-314.

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Carpal tunnel syndrome: modern diagnostic and management techniques.
N Kanaan, R A Sawaya
British Journal of General Practice 2001; 51 (465): 311-314.
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