Carpal tunnel Syndrome

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Carpal tunnel Syndrome Powered By Docstoc
					Sohag Univcersity   Dr. Ahmad Addosooki
   Dr. Ahmad Addosooki
Lecturer of orthopedic surgery
      Sohag University
   Adodsooki@gmail.com
                    Anatomy




Sohag Univcersity             Dr. Ahmad Addosooki
       Etiology&Patholog
               y




Sohag Univcersity   Dr. Ahmad Addosooki
                    Diagnosis




Sohag Univcersity               Dr. Ahmad Addosooki
                       Diagnosis
   Symptoms
       •Tingling and numbness along median
       nerve distribution
       •Increased at night
       •Increased with hand use for fine work
       •Falling of objects from the hand
   Signs
       •Hyposthesia along median nerve
       distribution
       •Opposition weakness
       •Thenar atrophy


Sohag Univcersity                               Dr. Ahmad Addosooki
                    Diagnosis
    Signs:
        •Phalan’s sign
        •Tinel’s sign
        •Carpal press sign
        •Closed fist sign




Sohag Univcersity               Dr. Ahmad Addosooki
       Conservative Treatment

    NSAIDS
    Neurotonics
    Mild dirutics
    Wrist brace




Sohag Univcersity         Dr. Ahmad Addosooki
          Steroid Injection




Sohag Univcersity       Dr. Ahmad Addosooki
             Operative Treatment




Sohag Univcersity            Dr. Ahmad Addosooki
          Open Soft Tissue Release




Sohag Univcersity             Dr. Ahmad Addosooki
          Wound Problems




Sohag Univcersity     Dr. Ahmad Addosooki
                Endoscopic CTR




Sohag Univcersity            Dr. Ahmad Addosooki
                    USE System




Sohag Univcersity                Dr. Ahmad Addosooki
Sohag Univcersity   Dr. Ahmad Addosooki
            1 weak postoperative




Sohag Univcersity              Dr. Ahmad Addosooki
   Thank You
Sohag Univcersity   Dr. Ahmad Addosooki

				
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posted:7/24/2013
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