امرأة عمرها ٥٠ سنة تشتكي تنميلاً في الإبهام والسبابة والوسطى يزيد ليلاً، وضعفاً في قبضة اليد. ما الأرجح؟

A 50-year-old woman has tingling in the thumb, index and middle fingers, worse at night, with weak grip. What is most likely?

1. Carpal tunnel syndrome
2. Shoulder osteoarthritis
3. Ulnar nerve injury
4. Diabetic neuropathy

Answer: A) Carpal tunnel syndrome. Median nerve compression at the wrist causes tingling in the first three fingers, worse at night; treatment is night splinting, activity modification and sometimes injection or surgery.