The Many Faces of Carpal Tunnel Syndrome

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Date of download: 6/23/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Does This Patient Have Carpal Tunnel Syndrome? JAMA.

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Presentation transcript:

The Many Faces of Carpal Tunnel Syndrome ROBERT J. SPINNER, M.D. Mayo Clinic Proceedings Volume 64, Issue 7, Pages 829-836 (July 1989) DOI: 10.1016/S0025-6196(12)61756-X Copyright © 1989 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 1 Diagram of carpal tunnel with its nine flexor tendons and the median nerve, a. = artery; FCR = flexor carpi radialis; FCU = flexor carpi ulnaris; lig. = ligament; n. = nerve; PL = palmaris longus. (From Goldner RD: Orthopaedic Surgery Update Series, Vol 3, Lesson 28. Princeton, New Jersey, Continuing Professional Education Center, Inc. By permission.) Mayo Clinic Proceedings 1989 64, 829-836DOI: (10.1016/S0025-6196(12)61756-X) Copyright © 1989 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 2 Diagram of carpal tunnel and its classic sensory distribution (stippled area). (Modified from American Society for Surgery of the Hand: The Hand: Examination and Diagnosis. Second edition. Edinburgh, Churchill Livingstone, 1983. By permission.) Mayo Clinic Proceedings 1989 64, 829-836DOI: (10.1016/S0025-6196(12)61756-X) Copyright © 1989 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 3 Bilateral thenar atrophy, more severe in left hand. Mayo Clinic Proceedings 1989 64, 829-836DOI: (10.1016/S0025-6196(12)61756-X) Copyright © 1989 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 4 Atrophy of left index finger, a cardinal sign of carpal tunnel syndrome in childhood. Mayo Clinic Proceedings 1989 64, 829-836DOI: (10.1016/S0025-6196(12)61756-X) Copyright © 1989 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 5 Notable enlargement of median nerve, which proved to be a lipofibroma. Mayo Clinic Proceedings 1989 64, 829-836DOI: (10.1016/S0025-6196(12)61756-X) Copyright © 1989 Mayo Foundation for Medical Education and Research Terms and Conditions