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Carpal Tunnel Syndrome (CTS) :
- Result of median nerve compression within the carpal tunnel
- Carpal tunnel is composed of eight irregular shaped carpal bones covered by the tough fibrous flexor retinaculum.
- Tunnel contains the finger flexor tendons and the median nerve.
- Median nerve innervates most of the palm, thumb, index finger, middle finger, and radial border of the ring finger
- Flexor tendon sheaths that become swollen may impinge on the median nerve within the cramped carpal tunnel.
- Symptoms of CTS include: numbness, tingling, and pain in the distal distribution, and may commonly wake patients during the night.
- In advanced cases, symptoms may persist during the day, person may drop objects frequently owing to decreased sensation, and thenar muscle atrophy.
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