Carpal tunnel syndrome differential diagnosis: Difference between revisions

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{{Carpal tunnel syndrome}}
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Latest revision as of 22:49, 8 March 2019

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

carpal tunnel syndrome is often associated with repetitive work-related motions. Since, there are many conditions cause similar symptoms to CTS, an accurate history and physical examination are essential in this regard.

Differential Diagnosis

  • Idiopathic
  • Carpometacarpal arthritis of thumb
  • Cervical radiculopathy (C6)
  • Flexor carpi radialis tenosynovitis
  • Median nerve compression at elbow
  • Raynaud phenomenon
  • Ulnar or cubital tunnel syndrome
  • Vibration white finger
  • Volar radial ganglion
  • Wrist degenerative arthritis
  • Rheumatoid Arthritis
  • Joint line pain, pain on motion, radiologic finding
  • Neck pain, numbness in thumb and index finger only
  • Tenderness near base of thumb
  • Tenderness at the proximal forearm
  • History of symptoms related to cold exposure
  • First dorsal interosseous weakness, fourth and fifth digit paresthesias
  • Uses vibrating hand tools at work
  • Mass near base of thumb, above wrist flexion crease
  • Limited motion at wrist, radiologic finding

References

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