Carpal tunnel syndrome (CTS): clinical features
Evidence-based neurology checklist on carpal tunnel syndrome (cts): clinical features: Pain and paraesthesias These involve the lateral 3 and a half fingers They may involve the whole hand They may radiate up to shoulder They often wake the patient up from sleep They are worse with the arms raised…
Pain and paraesthesias
- These involve the lateral 3 and a half fingers
- They may involve the whole hand
- They may radiate up to shoulder
- They often wake the patient up from sleep
- They are worse with the arms raised
- They exacerbate with hand use
- They are relieved by flicking the hand: the flick sign
Other symptoms
Clinical signs
Provocative manoeuvres
Peripheral differential diagnosis
References
- Bland JDP. Carpal tunnel syndrome. BMJ 2007; 335:343-346.
- Ibrahim I, Khan WS, Goddard N, Smitham P. Carpal tunnel syndrome: a review of the recent literature. Open Orthop J 2012; 6:69-76.
- Practice parameter for carpal tunnel syndrome (summary statement). Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology 1993; 43:2406-2409.
- Padua L, Coraci D, Erra C, et al. Carpal tunnel syndrome: clinical features, diagnosis, and management. Lancet Neurol 2016; 15:1273-1284.
- de Krom MCTFM, Knipschild PG, Spaans F, Kester ADM. Efficacy of provocative tests for diagnosis of carpal tunnel syndrome. Lancet 1990; 335:393-395.
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