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Management of Carpal Tunnel Syndrome Evidence-Based Clinical Practice Guideline

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Author/s: 
American Academy of Orthopaedic Surgery
Date Added: 
December 7, 2018
Publisher: 
American Academy of Orthopaedic Surgery
Publication Date: 
February 29, 2016
Type: 
Meta-analyses, Reviews, and Guidelines, Meta-analyses, Reviews, and Guidelines
Format: 
Article
Keywords 
carpal tunnel syndrome
diagnosis
compression neuropathy
median nerve
MeSH 
carpal tunnel syndrome
tomaculous neuropathy
hereditary sensory and Motor neuropathy arthrogryposis
wrist joint
median nerve

RPR Commentary

Evidence-based guideline for diagnosis and management of carpal tunnel syndrome from AAOS.  The summary is on pages 4-13.

Abstract

Overview

This clinical practice guideline is based on a systematic review of published studies with regard to the diagnosis and treatment of carpal tunnel syndrome (CTS). In addition to providing practice recommendations, this guideline also highlights limitations in the literature and areas that require future research.

This guideline is intended to be used by all qualified and appropriately trained physicians and surgeons involved in the diagnosis and treatment of CTS. It is also intended to serve as an information resource for decision makers and developers of practice guidelines and recommendations.

The following definition of carpal tunnel syndrome has been added to the introduction section: “For the purpose of this guideline, Carpal Tunnel Syndrome (CTS) is defined as follows: Carpal Tunnel Syndrome is a symptomatic compression neuropathy of the median nerve at the level of the wrist, characterized physiologically by evidence of increased pressure within the carpal tunnel and decreased function of the nerve at that level. Carpal Tunnel Syndrome can be caused by many different diseases, conditions and events. It is characterized by patients as producing numbness, tingling, hand and arm pain and muscle dysfunction. The disorder is not restricted by age, gender, ethnicity, or occupation and is associated with or caused by systemic disease and local mechanical and disease factors.

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