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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 2005 October;56(5):415-31
The management of carpal tunnel syndrome
Burke F. D., Hasham S.
The Pulvertaft Hand Centre Derbyshire Royal Infirmary, London Road Derby, UK
Carpal tunnel syndrome (CTS), or compression neuropathy of the median nerve at the wrist, is the one of the most common conditions encountered by the hand surgeon. The condition is diagnosed with increasing frequency in the general population and in certain occupational groups. There are a wide variety of factors and conditions that are associated with the development of CTS, giving rise to the typical symptoms of pain, numbness and paraesthesia in the hand which may wake the patient at night. CTS is a frequent cause of morbidity and can have a profound impact on an individual’s ability to perform their daily activities. In this review we look at the history, anatomy, epidemiology, diagnosis and the key issues in the management of CTS.