Section 60
Chapter 59,319

Acute carpal tunnel syndrome

Szabo, R.M.

Hand Clinics 14(3): 419


ISSN/ISBN: 0749-0712
PMID: 9742421
Accession: 059318788

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Although the carpal tunnel is open at both ends, it has the physiologic properties of a closed compartment bounded by synovium proximally and distally. When the intracarpal canal interstitial pressure rises above a critical threshold pressure, capillary blood flow is reduced below the level required for median nerve viability. Acute carpal tunnel syndrome is recognized frequently as occurring secondary to wrist trauma and infrequently due to a variety of infectious, rheumatologic, and hematologic disorders. This condition warrants prompt recognition and the treatment is early carpal tunnel release.

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