Carpal
tunnel syndrome
This is common. The typical patient awakens with painful tingling over
the radial side of the hand; there is often loss of fine dexterity because of
weakness of the abductor pollicis brevis muscle and altered sensation over the
thumb, index and middle fingertips. On examination, Tinel’s percussion sign is
positive over the carpal tunnel and Phalen’s test may be positive (tingling in
the hand when the wrist is fully