Question

A patient at the orthopedics OPD complains of troubled sleep at night due to numbness andtingling sensation involving his lateral 3 digits. His symptoms are relieved as he lays his armshanging from the bed. Which of the following options correctly describes his condition and thetest used to assess it?

• A. Guyon's canal syndrome, Froment's test
• B. Carpal tunnel syndrome, Froment's test
• C. Guyon's canal syndrome, Durkan's test
• D. Carpal tunnel syndrome, Durkan's test

Answer 1

The Correct Option is D

The patient is experiencing numbness and tingling in the lateral three digits, commonly known as the thumb, index, and middle fingers. These symptoms are characteristic of carpal tunnel syndrome (CTS), which occurs due to the compression of the median nerve as it passes through the carpal tunnel in the wrist. The relief of symptoms when the arm is positioned to alleviate pressure supports this diagnosis.

To assess carpal tunnel syndrome, various tests can be performed, but the Durkan's test is specific to this condition. The Durkan's test is a clinical maneuver where direct pressure is applied over the carpal tunnel for approximately 30 seconds. The test is considered positive if it reproduces the patient's symptoms of tingling and numbness in the affected fingers.

Therefore, the correct description of the patient's condition and the appropriate test is Carpal tunnel syndrome, Durkan's test.