The Carpal-Tunnel Syndrome

Diagnosis and Treatment

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The carpal-tunnel syndrome is a more common disorder of peripheral nerves than believed previously. There is seldom a clear picture of median-nerve involvement in the early stages, and this has led to confusion of this syndrome with other painful afflictions of the upper extremities. Measurement of velocities of conduction in the median nerve is an accurate diagnostic tool early in this disorder. Surgical intervention is most successful if done prior to the appearance of marked neurologic deficit. The simplicity of the surgical technique coupled with the ability to obtain an early diagnosis has aroused increasing interest in this

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    Flexor retinaculum has been sectioned. The deep incision is slightly longer than the incision in the skin. Note relationship to distal flexor crease and palmar creases. Median nerve lies in areolar tissue deep to retracted retinaculum.

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