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. She reports that the symptoms are worse at night. She has no past medical history and no history of cancer. On examination, she 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 abnormal 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. Bilateral radial and ulnar pulses are normal.
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
Similar content being viewed by others
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
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Yaghoubian, A., Rolfe, K.W. (2020). Chronic Right-Hand Pain. In: de Virgilio, C., Grigorian, A. (eds) Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-05387-1_33
Download citation
DOI: https://doi.org/10.1007/978-3-030-05387-1_33
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-05386-4
Online ISBN: 978-3-030-05387-1
eBook Packages: MedicineMedicine (R0)