Abstract
A 45-year-old seamstress presents to the clinic with a 4-year history of paresthesias of the volar right thumb, index, and middle finger with associated pain. Patient notes symptoms are worse at night. On examination, patient has decreased sensation on the volar thumb, index, and middle finger as well as the dorsal finger tips and a positive Tinel’s sign and Phalen’s test at the wrist. Strength in her abductor pollicis brevis is normal at 3/5 compared to the contralateral side and she has moderate thenar atrophy, but no hypothenar or intrinsic muscle atrophy. The hand is well perfused and there are no surgical or traumatic scars of the hand or wrist. She has no past medical history and no history of cancer.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Suggested Reading
Bland JD. Carpal tunnel syndrome. BMJ. 2007;335:43.
MacDermid JC, Wessel J. Clinical diagnosis of carpal tunnel syndrome: a systematic review. J Hand Ther. 2004;17:309.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer Science+Business Media New York
About this chapter
Cite this chapter
Yaghoubian, A.T., Rolfe, K.W. (2015). Chronic Right Hand Pain. In: de Virgilio, C., Frank, P., Grigorian, A. (eds) Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1726-6_29
Download citation
DOI: https://doi.org/10.1007/978-1-4939-1726-6_29
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4939-1725-9
Online ISBN: 978-1-4939-1726-6
eBook Packages: MedicineMedicine (R0)