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In the human body, the carpal tunnel or carpal canal is a flattened body cavity on the flexor (palmar/volar) side of the wrist, bounded by the carpal bones and flexor retinaculum. It forms the passageway that transmits the median nerve and the tendons of the extrinsic flexor muscles of the hand from the forearm to the hand . [ 1 ]
Carpal tunnel syndrome (CTS) is a nerve compression syndrome associated with the collected signs and symptoms of compression of the median nerve at the carpal tunnel in the wrist. Carpal tunnel syndrome is an idiopathic syndrome but there are environmental, and medical risk factors associated with the condition. [6] [1] CTS can affect both wrists.
Tendinopathy is a type of tendon disorder that results in pain, swelling, and impaired function. [2] The pain is typically worse with movement. [2] It most commonly occurs around the shoulder (rotator cuff tendinitis, biceps tendinitis), elbow (tennis elbow, golfer's elbow), wrist, hip, knee (jumper's knee, popliteus tendinopathy), or ankle (Achilles tendinitis).
Indication of the site of the problem in carpal tunnel syndrome. In carpal tunnel syndrome, one of the tendons or tissues in the carpal tunnel is inflamed, swollen, or fibrotic and puts pressure on the other structures in the tunnel, including the median nerve. Carpal tunnel syndrome is the most commonly reported nerve entrapment syndrome. [2]
Pain may be caused after exerting the wrist, as may occur during weight lifting, in any weight-bearing or athletic activity, manual labor, or from injury to nerves, muscles, ligaments, tendons or bones of the wrist. [2] [3] Wrist pain may result from nerve compression, tendonitis, osteoarthritis or carpal tunnel syndrome.
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The common flexor sheath of hand or the ulnar bursa [1] is a synovial sheath in the carpal tunnel of the human hand. It contains tendons of the flexor digitorum superficialis and the flexor digitorum profundus, but not the flexor pollicis longus. [2]
Examples of conditions that may sometimes be attributed to such causes include tendinosis (or less often tendinitis), carpal tunnel syndrome, cubital tunnel syndrome, De Quervain syndrome, thoracic outlet syndrome, intersection syndrome, golfer's elbow (medial epicondylitis), tennis elbow (lateral epicondylitis), trigger finger (so-called ...
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