MCQ Orthopedics 13

A 46-year-old man on hemodialysis for 12 years complains of insidious onset of painful nocturnal dysesthesias involving the thumb and three fingers, relieved by shaking the hand. Physical examination of the hand reveals thenar wasting and numbness over the fingers. Each of the following statements is true, except

A. Deposits of β2-microglobulin AH (amyloidosis associated with hemodialysis) amyloid compressing the median nerve could produce these findings.
B. An entrapment neuropathy could explain these findings.
C. Paresthesias involving the radial side of the thumb, second, third, and fourth fingers suggest compression of the medial nerve.
D. Carpal tunnel syndrome could explain these findings.
E. Deposits of amyloid of the primary type AL (amyloidosis associated with light chains) would be typical.

Answer

Tags: MCQ, Orthopedics, Nerve Entrapment

Category: Orthopedics MCQs