Medical MCQ - A pregnant woman aged 30 years after trauma feeling tingling pain and numbness at the tips of thumb , index finger and middle finger, on examination doctor presses between the wrist joint for 30 seconds and the patient de- velops more pain at the tips of the middle ,index finger and thumb. What is the diagnosis

A pregnant woman aged 30 years after trauma feeling tingling pain and numbness at the tips of thumb , index finger and middle finger, on examination doctor presses between the wrist joint for 30 seconds and the patient de- velops more pain at the tips of the middle ,index finger and thumb. What is the diagnosis

Carpal tunnel syndrome

Cubital tunnel syndrome

Tarsal tunnel syndrome

Pronator syndrome

Question Category:

Orthopaedics

Correct Answer:

Carpal tunnel syndrome

Description:

Ans. (a) Carpal tunnel syndromeRef: Maheshwari 5th ed. / 303Entrapment SyndromeNerve involvedCarpal tunnel syndrome aka Pronator syndromeMedian nerve (at wrist)Median nerve (proximally compressed beneath - ligament of struthers, bicipital aponeurosis or origins of pronator teres or flexor digitorum superficialisCubital tunnel syndrome/ Guyon's canal syndromeUlnar nerve (between two heads of flexor carpi ulnaris or arcade of struthers)Ulnar nerve (at wrist)Tarsal tunnel syndromePosterior tibial nerve (behind & below medial malleolus)Thoracic outlet syndromeLower trunk of brachial plexus, (C8 & Tl) & subclavian vessels (between clavicle & first rib)Meralgia parastheticaLateral cutaneous nerve of thighMorton's metatarsalgiaInterdigital nerve compression (usually of 3rd, 4th toe)

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