There is a female predisposition (by a factor of 3:1), more often occurs in obese middle-aged individuals (58%), more likely affecting their dominant hand, but may occur bilaterally. George Phalen described the classic Phalen’s sign in 1949.¹ It occurs in 10% of the general population, and up to 50% in industrial settings. Carpal tunnel syndrome (CTS) was first described by Sir James Paget in 1863, and subsequently Dr.
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