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Wrist - Case 58 (3rd ed)
Wrist - Case 58 (3rd ed)
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Pdf Summary
The document consists of study questions related to carpal tunnel syndrome (CTS) and provides insights into diagnosing and understanding this condition, especially in relation to occupational health. <br /><br />For Study Question #1, the correct answer is A: "The association between computer use and carpal tunnel syndrome is not supported by most studies." This suggests that despite common beliefs, there is insufficient epidemiological evidence to confirm computer work as a cause for CTS. References cited include studies and reviews from journals such as Best Practice & Research Clinical Rheumatology and BMJ Open, which have found no significant association between CTS and computer use.<br /><br />Study Question #2 addresses symptoms and diagnostic evaluation of CTS. The correct answer is D: "Patients typically complain of numbness and tingling affecting the first three digits and the radial side of the ring finger." This symptomology reflects the involvement of the median nerve, which supplies these areas. The passage also clarifies that while symptoms may sometimes seem to involve all fingers, the ulnar nerve is responsible for the sensation in the ulnar side of the ring finger and fifth digit, thus differentiating true CTS symptoms. The document notes that nerve conduction studies, such as electromyography (EMG), are helpful as they typically show slowing of the nerve across the carpal tunnel, thereby aiding diagnosis. The inaccurate options are clarified, such as Froment’s sign being related to ulnar neuropathy, not CTS.<br /><br />These study questions and answers are supported by references from academic sources on family medicine and physical medicine and rehabilitation, indicating their reliability in medical practice and occupational health considerations.
Meta Tag
Edition
3rd Edition
Related Case
3rd Edition, CASE 58
Topic
Wrist
Keywords
carpal tunnel syndrome
CTS diagnosis
computer use
occupational health
median nerve
nerve conduction studies
electromyography
numbness and tingling
ulnar neuropathy
epidemiological evidence
3rd Edition
3rd Edition, CASE 58
Wrist
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