For hospitalists CTS is a rare diagnosis, but still I retain my fascination for this all but ubiquitous disease. Most of what there is to know can be found in any good textbook on the subject and our new guidelines, so we concentrate on neuroanatomy, surgical techniques and injection technique, using this video on endoscopic surgery and this video on (one approach) to injection and this video for using ultrasound for injection.
Let me mention in passing a few recent papers I stumbled upon that might be of interest:
- Hyperventilation provokes CTS symptoms (whatever that helps, it is funny to see neurophysiology in action)
- Peripheral and central sensitization processes in CTS are quite complex and explain why the pain and paresthesias are often quite distant (proximal) from the pathology
- History is more important than examination (this is always true in Neurology but has been shown in this instance as well)