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Karpaltunnelsyndrom

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Definition:
Symtom på grund av kompression av nervus medianus i karpaltunneln. Repetitiva rörelser i arbetet och svullnad i handleden predisponerar för tillståndet.
Förekomst:
Den vanligast förekommande perifera neuropatin med en prevalens på cirka 5 % bland vuxna. Vanligare bland kvinnor.
Symtom:
Typiska symtom är domningar och stickningar i handflatan och i de radiala fingrarna.
Kliniska fynd:
Positiva fynd vid Tinels och Phalens test kan styrka misstanken.
Diagnostik:
Diagnosen ställs i första hand genom klinisk undersökning. I oklara fall kan neurofysiologisk utredning (ENeG) behöva göras.
Behandling:
Tillståndet kan spontanläka, och i lindriga till måttliga fall är behandling med skena under 4 veckor som regel förstahandsval. Eventuellt kortisoninjektion. Operation vid svåra eller kvarstående symtom.
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  • Anna Nager, med dr och specialist i allmänmedicin, Karolinska institutet

Tidigare sakkunniga

  • Tor Ansved, docent och specialist, Neurology clinic, Sophiahemmet, Stockholm
  • Ingard Løge, spesialist allmennmedisin (NEL)