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Evaluation of volar compartment pressures with a needle monitor
2%
79/3180
Icing and elevation of the arm with follow-up evaluation in 8 hours
71/3180
Immediate EMG evaluation of the left upper extremity
0%
15/3180
Closed reduction, carpal tunnel release, and sugar tong splinting
3%
99/3180
Emergent open reduction internal fixation with carpal tunnel release
91%
2890/3180
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The radiograph demonstrates a displaced distal radius fracture along with a scaphoid fracture, and the patient is presenting with neurologic deficits of acute carpal tunnel syndrome. This is a surgical emergency requiring release of the carpal tunnel to prevent permanent dysfunction. Dyer et al performed a retrospective cohort comparison of patients with distal radius fractures. Fracture translation was the most significant risk factor for development of acute carpal tunnel syndrome. Ipsilateral extremity fracture and multi-extremity trauma were trending, but not statistically significant risk factors. In a review article, Schnetzler describes the pathogenesis, evaluation, and treatment of acute carpal tunnel syndrome.
3.7
(30)
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