A 45 year old lady, known to have rheumatoid arthritis, presented with tingling and numbness on the lateral three and half fingers. On examination there is wasting of the the thenar muscles and Tinel's sign is positive. What is the diagnosis?
A 45 year old lady, known to have rheumatoid arthritis, presented with tingling and numbness on the lateral three and half fingers. On examination there is wasting of the the thenar muscles and Tinel's sign is positive. What is the diagnosis?
ایک 45 سالہ خاتون، جسے ریمیٹائڈ آرتھرائٹس کے طور پر جانا جاتا ہے، کو لیٹرل ساڑھے تین انگلیوں پر جھنجھلاہٹ اور بے حسی کا سامنا کرنا پڑتا ہے۔ معائنے پر تھینر کے پٹھے ضائع ہو رہے ہیں اور ٹنیل کا نشان مثبت ہے۔ تشخیص کیا ہے؟
Explanation
The diagnosis is Carpal tunnel syndrome.
The symptoms of tingling and numbness in the lateral three and a half fingers, along with wasting of the thenar muscles and a positive Tinel's sign.
They are characteristic of median nerve compression at the wrist.