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Karpaltunnelsyndrom

Sist revidert:
Sist revidert av:
Definisjon:
Skyldes kompresjon av nervus medianus i canalis carpi. Repeterende håndbevegelser i yrket og hevelser i håndleddet disponerer
Forekomst:
Hyppigst forekommende perifere nevropati med prevalens 3-4% i den voksne befolkning. Vanligst blant kvinner, prevalensen øker med alderen
Symptomer:
Typiske symptom er smerter, nummenhet og prikking i håndflaten og i de radiale fingrene
Funn:
Diagnosen kan stilles klinisk. Tinels og Phalens tegn kan styrke mistanken
Diagnostikk:
Klinikk sammen med nevrografisk diagnostikk gir mest pålitelig informasjon om tilstanden
Behandling:
Tilstanden kan spontanhelbrede, og konservativ behandling er som regel førstevalg. Ved alvorlige sympom og/eller store plager kan operativ behandling være et godt alternativ
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  9. Vaught MS, Brismée JM, Dedrick GS, et al.. Association of disturbances in the thoracic outlet in subjects with carpal tunnel syndrome: a case-control study. Journal of hand therapy 2011; 24: 44-52. PubMed  
  10. McDonagh C, Alexander M, Kane D. The role of ultrasound in the diagnosis and management of carpal tunnel syndrome: a new paradigm. Rheumatology (Oxford). 2015;54(1):9-19. PMID: 25118315 PubMed  
  11. Atthakomol P, Manosroi W, Phanphaisarn A, et al. Comparison of single-dose radial extracorporeal shock wave and local corticosteroid injection for treatment of carpal tunnel syndrome including mid-term efficacy: a prospective randomized controlled trial. BMC Musculoskelet Disord. 2018 Jan 25;19(1):32. doi: 10.1186/s12891-018-1948-3. PMID: 26610183 PubMed  
  12. Wu YT, Ke MJ, Chou YC, et al.. Effect of radial shock wave therapy for carpal tunnel syndrome: A prospective randomized, double-blind, placebo-controlled trial. J Orthop Res 2016 Jun; 34(6): 977-84. pmid:26610183 PubMed  
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  16. Ashworth NL, Bland JD P, Chapman KM, et al. Local corticosteroid injection versus placebo for carpal tunnel syndrome. Cochrane Database of Systematic Reviews 2023, Issue 2. The Cochrane Library  
  17. Atroshi I, Flondell M, Hofer M, et al. Metyhylprednisolone injections for the carpal tunnel syndrome: A randomized, placebo-controlled trial. Ann Intern Med 2013; 159: 309-17. Annals of Internal Medicine  
  18. Hofer M, Ranstam J, Atroshi I. Extended Follow-up of Local Steroid Injection for Carpal Tunnel Syndrome: A Randomized Clinical Trial. JAMA Netw Open. 2021;4(10):e2130753. doi:10.1001/jamanetworkopen.2021.30753 DOI  
  19. Rankin IA, Sargeant H, Rehman H, Gurusamy KS. Low-level laser therapy for carpal tunnel syndrome. Cochrane Database of Systematic Reviews 2017, Issue 8. Art. No.: CD012765. DOI: 10.1002/14651858.CD012765. DOI  
  20. Li Y, Luo W, Wu G, Cui S, Zhang Z, Gu X. Open versus endoscopic carpal tunnel release: a systematic review and meta-analysis of randomized controlled trials. BMC Musculoskelet Disord. 2020;21(1):272. PubMed  
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  • Terje Johannessen, professor dr. med.

Tidligere fagmedarbeidere

  • Tor Ansved, docent och specialist, Neurology clinic, Sophiahemmet, Stockholm (Medibas)
  • Trond Sand, professor, overlege seksjon for klinisk nevrofysiologi, Nevrologisk avdeling, Norges teknisk-naturvitenskapelige universitet og Regionsykehuset i Trondheim
  • Espen Dietrichs, professor og avdelingsoverlege, Universitetet i Oslo og Nevrologisk avdeling, Rikshospitalet, Oslo