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Bei diesem ist ein Nerv, der für das Gefühlsempfinden von Daumen, Zeige-, Mittel- und teilweise Ringfinger verantwortlich ist, im sogenannten Karpalkanal oberhalb des Handgelenkes eingeklemmt. Durch diesen Kanal laufen auch alle Beuge- sehnen, die für den Faustschluss der Hand zuständig sind. Im Laufe des Lebens oder bei bestimmten Erkrankungen oder Überlastungen können sich die Sehnenscheiden verdicken und drücken somit den Nerv ab. Auch bei bestimmten Bewegungen am Tage, wie z.B. Zeitung lesen oder Velo- oder Autofahren kommt es dann zu einer starken Druckzunahme innerhalb des Kanales. Bei Zweifelsfällen kann zusätzlich noch eine Nervenunterschung erfolgen, bei der die Leitungsgeschwindigkeit des Nervens gemessen werden kann. Wartet man zu lange ab, kommt es zu permanenten Gefühlsstörungen der Finger und zu einem Kraftverlust, bei dem insbesondere kleine Gegenstände nicht mehr aufgehoben werden können oder ein Knopf nicht mehr zugemacht werden kann. Dann besteht das Risiko, dass auch nach der Operation sich der Nerv nicht mehr vollständig erholt. 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