Carpal Tunnel Syndrome (CTS) is a common acquired compressive neuropathy of the median nerve that presents with symptoms of numbness and tingling in the median nerve distribution of the hand.
This disese affects 0.1-10% of general population, Up to 70% of patients have bilateral carpal tunnel syndrome, it is more common in adults aged 40-60 years old and Regarding gender, it is more frequent female: male ratio 3:1
The Risk factors: female sex, obesity, pregnancy, hypothyroidism, rheumatoid arthritis, trauma, menopause, chronic renal failure, diabetes, smoking, alcoholism
Activities influence in an important way, being of greater importance the exposure to repetitive vibratory exposure (e.g., typing on a keyboard), certain athletic activities like cycling, tennis, throwing and trauma.
The symptoms are numbness and tingling in radial 3-1/2 digits, clumsiness, pain and paresthesias that awaken patient at night
The diagnosis is made through physical tests in the office and ultrasound and electromyography studies.
The symptoms are similar to the following diseases, so it is important to rule out any of these AIN compressive neuropathy, Pronator syndrome, Ulnar tunnel syndrome, Cervical radiculopathy
The treatment can be nonoperativa or surgery, the non-surgical treatment consists of anti-inflammatories, rest, splints and physical therapy. In some cases, steroid injection is indicated.
In surgical treatment there is the possibility of performing it openly or endoscopically.
