Gary Wise, M.D.; Neal Taylor, M.D.
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Median nerve entrapment in the carpal tunnel is a common cause of pain and numbness in the upper extremity. Thenar atrophy, reproduction of symptoms with wrist flexion, Tinel's sign, and loss of sensation in the fingers innervated by the median nerve have been emphasized in the detection of this disorder. Diagnosis is often delayed when patients report "numb" sensations in all five fingers and when pain radiates up the arm to the shoulder. Coexistent disorders of the upper extremity may erroneously be thought to be the cause of neurologic symptoms in patients whose major problem is carpal tunnel entrapment. Most
Wise G, Taylor N. Carpal Tunnel Syndrome.. Ann Intern Med. ;74:839. doi: 10.7326/0003-4819-74-5-839_2
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Published: Ann Intern Med. 1971;74(5):839.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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