Carpal Tunnel Syndrome: The Daily PANCE Blueprint
You suspect a patient has carpal tunnel syndrome. You hold their wrist in a flexed position for 60 seconds, which leads to paresthesias. Which of the following is the name of this test?
A. Tinel Sign
B. Phalen Sign
C. Durkan Test
D. Wormser’s Test
E. Hand Elevation Test
Answer and topic summary
The answer is B. Phalen Sign
Carpal tunnel syndrome is defined by compression of the median nerve. Symptoms include hand weakness, nocturnal pain, and paresthesias of the hand (usually in median-nerve distribution). Some risk factors include prolonged postures of wrist flexion, obesity, pregnancy, hypothyroidism, and rheumatoid arthritis. Diagnosis is usually clinical. Treatment includes night splinting and local steroid injection. Surgical decompression can be done for refractory cases.
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Smarty PANCE Content Blueprint Review:
Covered under ⇒ PANCE Blueprint Neurology ⇒ ⇒
