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Carpal Tunnel Syndrome, Emergency Medicine

Matthew T. Spencer and Linda L. Spillane Reviewed 06/2017
 


Basics

Description

  • Carpal tunnel syndrome is caused by compression of the median nerve as it passes through the carpal tunnel.

  • The carpal tunnel is the area bound by the carpal bones and the transverse ...

Diagnosis

Signs and Symptoms

History

  • Acute or chronic onset

  • Numbness/paresthesia in a median nerve distribution:

    • Thumb, index, middle, and radial aspect of ring finger

  • Pain:

    • Location: Wrist or hand, sometim...

Treatment

Initial Stabilization/Therapy

None necessary 

Ed Treatment/Procedures

  • Acute:

    • Hand surgery consultation for surgical release of transverse carpal ligament using either open or endoscopic techniqu...

Follow-Up

Disposition

Admission Criteria

Acute carpal tunnel syndrome requiring surgical decompression 

Discharge Criteria

Chronic carpal tunnel syndrome after adequate pain control 

Followup Recommendations

Additional Reading

  • Cranford  CS, Ho  JY, Kalainov  DM, et al. Carpal tunnel syndrome. J Am Acad Orthop Surg.  2007;15(9):L537–L548.

  • Keith  MW, Masear  V, Chung  K, et al. Diagnosis of carpal tunne...

Codes

ICD9

354.0 Carpal tunnel syndrome 

ICD10

  • G56.00 Carpal tunnel syndrome, unspecified upper limb

  • G56.01 Carpal tunnel syndrome, right upper limb

  • G56.02 Carpal tunnel syndrome, left upper limb

  • G56.0 Carp...

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