From anatomy to discovering the patient!
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Carpal tunnel syndrome is the most common upper extremity compressive neuropathy
o 1 to 5% of general population
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There were 11,332 cases of DeQuervain’s tenosynovitis in the population at risk of 12,117,749 person-years
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Women had a significantly higher rate of DeQuervain’s tenosynovitis at 2.8 cases per 1000 person-years, compared to men at 0.6 per 1000 person-years
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Triangular fibrocartilage complex (TFCC) was torn in 46 of 118 patients with distal radial
fracture
o 35% of intra-articular fractures
o 53% of extra-articular fractures
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In 59 hands with carpal tunnel syndrome, 34% also had ulnar tunnel (Guyon’s canal) neuropathy
See more prevalence information in the Clinical Pattern Recognition: Orthopaedics app here
Clinical Pattern Recognition
Click on the pain pattern to learn about the patients and develop your clinical patterns!
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Carpal Tunnel Syndrome– Hand Sensory Deficits (1-minute video)
2. DeQuervain’s Syndrome-Thumb Pain with Muscle Power Deficits (1-minute video)
3. Sprain of Carpal Ligaments–Wrist and Hand Pain with Movement Coordination Impairments (1-minute video)
4. Sprain of Ulnar Collateral Ligament of the Thumb– Thumb Pain with Movement Coordination Impairments (1-minute video)
5. Sprain or Tear of Triangular Fibrocartilage of the Distal Radius and Ulna– Wrist and Hand Pain with Movement Coordination Impairments (1-minute video)
6. Thumb Osteoarthritis- Thumb Pain with Mobility Deficits (1-minute video)
7. Ulnar Tunnel Syndrome or Entrapment Around Pisohamate Ligament– Hand Sensory Deficits (1-minute video)
8. Wrist Osteoarthritis– Wrist Pain with Mobility Deficits (1-minute video)