Question

ures Chapter 24-eurosurgery $31 CASE STUDY 2 Jamma, a 43-year-old female secretary for a law firm, presents to Dr. Michaels withh complaints of numbnesss, tingling, and pain in the right hand Dr. Michacls notes churing the examination of the yolar surface of thhe hand that the symptoms are localized to the thumb, index finger, long finger, and medial aspect of the ring finger. He also notes that pain occasionally radiates up the arm into the shoulder. Jamma states that the pain awakens her at night. 1. What is the diagnosis? What anatomy is involved? 2. What is the diagnostic exam completed for this condition? 3. How is the condition surgically treated?

Answer 1

1. Diagnosis - Carpal tunnel syndrome.

Carpal tunnel syndrome:

* carpal tunnel syndrome is a medical condition due to compression & The median neque as it travels Through The wrist at the carpal tunnel. * main symptoms are pais numbness and tingling Pr The Thumb, inden Finger middle finger and Thumb side of thing ginger

Anatomy - Carpal tunnel in wrist.

Carpal tunnel;

* carpal Tunnel is the passageway on the Palmar side of the wrist that connects The forearm to the hand. *The tunnel is bounded by Bones & The wrist and flenor retinaculum from connective tissue. * several tendons from The flenor group of forecam muscle and the median neque pass through it,

2.Diagnostic exam to the condition:

• Tinel sign.
• Wrist Flexion test.
• X- ray.
• Electromyography and nerve conduction studies

Tinels sign:

Tinel's sign: In This test, The physicians tape over the median neue at The wrist to see if it produus a tingling sensation is the Fingers

3.surgical treatment for Carpal tunnel syndrome:

Volar wrist splint;

wrist splint.. *volar splinting is a valuable technique for Managing Traumatic and won traumatic condition of the hand and wrist. * The splint Immobilizes and support The metacarpals and carpals while allowing room for swelling & Splint can be removed to Enamire wounds, That may occupy the Irýway