PPT-Differential Diagnosis of Radial Tunnel Syndrome and Lateral Epicondylosis

James J Lehman DC MBA FACO Associate Professor of Clinical Sciences Director Community Health Clinical Education University of Bridgeport Learning Objectives Identify injured and painful tissues through careful assessment and intelligent use of neuromusculoskeletal testing and document the findings. Kailey Butler. What is Carpal Tunnel Syndrome?. Carpal . tunnel syndrome is a hand and . wrist . condition that causes numbness, . pain, and tingling. Carpal . tunnel syndrome is caused by a pinched nerve in your wrist. Anatomy. Distribution. Signs & Symptoms. Pain – Worse at night. Paraesthesia. – Sparing the . Thenar. Eminence. Weakness and Atrophy of . Thenar. Muscles. Aetiology. Intermittent or sustained high tissue pressure in the Carpal tunnel impairs . Mr M . Aly. ,. Mr P Dearden,. Mr S . Sturdee. , Mr G Wells, Mr A . Shenolikar. . Overview. Background . Anatomy . Diagnosis. Management. Audit standards. Methodology. Results. Conclusions. Recommendations. Pathophysiology/epidemiology. Caused by compression of median nerve. Can cause edema, devascularization, demyelination. Myriad factors contribute to development. Irritation of flexor tendons, rheumatoid arthritis, congenital deformity of retinaculum. MSc. , FRCSC . Introduction. Risk factors. Female. Pregnancy. Diabetes mellitus. Hypothyroid disease. Rheumatoid arthritis (many . mcqs. ). No motor deficit in mild compression. Sensory changes are earliest signs. . . Additional Professor. . Anatomy. . AIIMS . Rishikesh. Learning Objectives. Origin and . root value of radial nerve.. Course . and relations of . radial nerve.. Branches and structures supplied by radial nerve.. Waiter’s. tip . sign. Dystocia. Upper Lesions of the Brachial Plexus . (. Erb-Duchenne. Palsy). excessive displacement of the head to the opposite side. depression of the shoulder on the same side. Learning ObjectivesElicit a neuromusculoskeletal patient history and record the subjective findings in order to perform differential diagnosis procedures and determine use of objective testing. Learn Learning ObjectiveIdentify injured and painful tissues through careful assessment and intelligent use of neuromusculoskeletal testing and document the findings of chronic low back pain. Learning Objec the bmj | 8 November 2014 27 symptoms without treatment has not been satisfactorily resolved. How is it diagnosed? The diagnosis of carpal tunnel syndrome is a clinical one that ma �� &#x/Att;¬he; [/;ott;&#xom ];&#x/BBo;&#xx [4; 47;&#x.029; 54;.74; 11;.03;i ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon concealed in the belly of brachioradialis muscle and lying lateral to radial artery. In the middle third of the forearm, it lies behind brachioradialis and lateral to radial artery. It passes dorsa outside (lateral aspect) of the elbow. Golfer’s Elbow (medial epicondylitis) is a similar condition, around the inside (medial aspect) of the elbow. Tennis and golfer’s elbow typically resul Jake Powell, OMSIII. 1. ; Kalan Barnes, MS, OMSII. 1. ;Cameron Beck, MS, OMSIV. 1. ; Matthew Skinner, MD. 3. ; William F . Pientka. II, MD. 3. ; Cara L. Fisher, PhD. 2. Texas College of Osteopathic Medicine.