Carpal tunnel semiology

While it might seem that compression of the median nerve would be frequent during the course of digitocarpal phlegmonous tenosynovitis, involvement of this nerve under these circumstances is rarely mentioned in the literature. We recently observed two cases of phlegmonous tenosynovitis of the digitocarpal sheath associated with signs of nerve deficits in the territory of the median nerve. This led us to speculate why this phenomenon was so rarely encountered as well as the exact significance of this condition...

Accurate Diagnosis of bone and soft-tissue lesions in the carpal area is possible by different radiological techniques. A thorough knowledge of the semiology and the limits of these techniques is important. The use of radiology, arthrography, scintigraphy, sonography and CAT Scan in the carpal pathology is described by the authors.