Template:Carpal Tunnel Syndrome DDX

From WikiMSK

  • Cervical radicular pain (C6 or C7): Neck pain, positive Spurlings test
  • First Carpometacarpal Joint Osteoarthritis : Painful thumb motion, positive grind test, radiographic findings
  • De Quervain Tendinopathy: Tenderness distal radial styloid
  • Polyneuropathy: History of diabetes mellitus, bilateral, lower extremity involvement.
  • Thoracic Outlet Syndrome: ulnar sided symptoms, positive EAST and ULTT.
  • Pronator teres syndrome (median nerve compression at the elbow): Forearm pain; sensory loss over the thenar eminence; weakness with thumb flexion, wrist extension, and forearm pronation
  • Ulnar neuropathy: Paresthesias of the ring and little fingers, positive Tinel sign and compression tests at the elbow or wrist (Guyon canal)
  • Radial neuropathy
  • Raynaud syndrome:Symptoms related to cold exposure, typical color changes
  • Vibration white finger:Use of vibratory hand power tools, symptoms of Raynaud phenomenon
  • Wrist osteoarthritis: painful wrist motion, radiographic findings
  • Inflammatory arthropathy
  • Peripheral nerve tumour
  • Multiple sclerosis
  • Amyotrophic lateral sclerosis
  • Acute compression syndromes (eg, Saturday night palsy)