Carpal Tunnel Syndrome.
10.4055/jkoa.2014.49.5.331
- Author:
Suk Ha LEE
1
;
Seoung Joon LEE
Author Information
1. Department of Orthopaedic Surgery, Konkuk University School of Medicine, Seoul, Korea. lsjmd@naver.com
- Publication Type:Review
- Keywords:
carpal tunnel syndrome;
median nerve
- MeSH:
Carpal Tunnel Syndrome*;
Diagnosis;
Electrodiagnosis;
Humans;
Median Nerve;
Neural Conduction;
Peripheral Nerves;
Physical Examination;
Ultrasonography
- From:The Journal of the Korean Orthopaedic Association
2014;49(5):331-339
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Carpal tunnel syndrome is the most common peripheral nerve entrapment syndrome. The elevated pressure in the carpal tunnel causes compression of median nerve. Although the diagnostic criteria for carpal tunnel syndrome are not clear, the diagnosis is based on the patient history and physical examination and may be confirmed by electrodiagnosis with nerve conduction test or ultrasonography. Nonsurgical treatments are generally recommended for early carpal tunnel syndrome and surgical treatments are preferred for failed nonsurgical treatment, however there is controversy regarding the optimal time when the surgery should be performed. Results of surgical treatment are usually satisfactory, however there are also complications after surgical treatment. In order to achieve good results without complications, normal anatomy around the median nerve and its anatomical variations should be thoroughly understood before the operation and careful surgical technique is absolutely required.