HTHSCI 1H06 Lecture Notes - Lecture 19: Palmaris Longus Muscle, Pisiform Bone, Scaphoid Bone

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Explain symptoms of carpal tunnel: numbness and pain distributes across the hand except the little finger and medial half of the hand are not affected. Thenar muscles are weakened and not able to flex, abduct, and oppose the thumb as normal. If it is suspected that the problem is due to the nerve running through the carpal tunnel with the deep flexor tendons, perform the. Tinel"s sign to make the situation worse; this will correctly identify a pain response or lack thereof: done by wrapping fingers on the retinaculum, extends across the wrist to stabilize the tendon, and begin to compress. If entrapment of a nerve in the carpal tunnel is present, there will be a radiating pain that distributes itself along the subcutaneous branches of the median nerve. When splint is removed, symptoms may return after several days: patient may be provided anti-inflammatories, steroid injections, may be used. It has limited effectiveness by providing relief for only.

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