�� - �� (�� ) Carpal tunnel syndrome [��]

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11-14-2008, 01:48 AM

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�� - �� (�� ) Carpal tunnel syndrome
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https://www.medicalcom.net/resize.php?url=mednews/1187537069.JPG&thewidth=200&theheight=200&shadow=F7F7F7

�� ϡ � �� : �� Median nerve � �� Ulnar nerve � �� Radial nerve .

� �� ß �� Wrist ligament �� Median nerve

� �� . (1)

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�� 5,8% �� . (2)

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�� Wrist ligament �� ( �� ) . � �� :

� �� ß � �� .

� �� Diabetesß �� .

� �� Thyroid conditionß � �� Hypothyroidism �� Hyperthyroidism �� (�� Polysaccride) �� .

� �� Rheumatoid arthritisß �� .

� �� Acromegaly ß �� Pituitary adenoma �� . (3)

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� �� (��) Numbness , tingling � �� .

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� �� .........�� .

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� �� : �� .

� �� muscle waste . (4)

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� �� Nerve conduction velocity NCV �� Electromyography � � �� .

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- �� Blood glucose level �� .

- �� .

- �� Rheumatoid factor � ANA �� .

- �� . (5)

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�� Conservative treatment � �� Surgical intervention :

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� �� :

1. �� Brace or splint �� .

2. �� Paracetamol �� .

3. �� Corticosteroid injection �� . (6)

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� �� . (7)

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� �� Ultrasonographic measurement � �� Pisiform bone �� - Cross section -�� . (8)

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� �� U/S � �� Laser � �� (1 �� 15 �� / �� ) � (1 MHz , 1.0 w / cm2, pulse 1:4 , 15 min / session ) � �� - 9 �� - �� (low level Laser therapy � 9 joules-830 nm infrared Laser at 5 points ) � �� 5 �� . (9)

� �� Corticosteroid �� . (10)

� �� 11,4% �� . (11)