| Painful numb hands. | |
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MedLine Citation:
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PMID: 21978345 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Carpal tunnel syndrome, resulting from median nerve compression at the wrist, is a common and often disabling mononeuropathy. Risk factors include female sex, family history, repetitive hand use, obesity, pregnancy and a variety of medical comorbidities including diabetes mellitus, rheumatoid arthritis, and other connective tissue diseases. In many cases, an accurate diagnosis can be reached on the basis of clinical history and supportive examination findings alone. Neurophysiological investigations are essential for confirming the diagnosis, assessing severity and excluding more generalised neuropathies, as well as providing a baseline preoperative index of median nerve function. Wrist splinting and local corticosteroid injection are effective treatments in the short term, but long-term data are lacking. Surgical (endoscopic or open) carpal tunnel release is effective and nearly always required to enable a return to work for patients with occupationally induced carpal tunnel syndrome. |
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Authors:
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Marion A Simpson; Bruce Day |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Medical journal of Australia Volume: 195 ISSN: 1326-5377 ISO Abbreviation: Med. J. Aust. Publication Date: 2011 Oct |
Date Detail:
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Created Date: 2011-10-07 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0400714 Medline TA: Med J Aust Country: Australia |
Other Details:
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Languages: eng Pagination: 388-91 Citation Subset: IM |
Affiliation:
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The Alfred Hospital, Melbourne, VIC, Australia. b.day@alfred.org.au. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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