CTS

Question 1

Carpal tunnel

Answer 1

Roof- flexor retinaculum
Retinaculum atts- hook ahmate, ridge trapezium, pisiform, scaphoid.
Floor- scaphoid, lunate, triquetrum (proximal row)
Contents- 4 tendons FDS, 4 FDP, FPL. Median N.
median N LOAF- FPB, abduc PB, OP, lateral lumbricals.

Question 2

Causes of swelling in CT

Answer 2

INFLAMM ARTHRITIS
DM
Hypothyr
Obesity
Preg
Alc
Pre tibial myxoedema

Question 3

OE

Answer 3

Thenar wasting
Trophic changes
Ape thumb deformity
Sensory fun over thenar emin tests if lesion before thenar br
Tinnels tap lat to PL tend
OK sign tests FDP, FPL
Ulnar deviation due to reduced FCR func
Test wrist ROM for arth
Durkans most sensitive press median N
Semme weinstein monofilament
Phalens with ext elbow

Question 4

Diffs

Answer 4

Cervical radiculopathy
Thoracic outlet synd eg pancoast apical lung or cervical rib comp C8, T1
Pronator syndrome