(1) Shaking the patient's hand at the end of the consultation, the doctor noticed a raised lesion on the thenar eminence of his right hand.(2) Although it is uncommon, swelling in the thenar or midpalmar spaces of the hand suggests an infectious etiology.(3) Wasting of the thenar muscle occurs in under 10% of cases.(4) The nerve also supplies a branch to the muscles of the thumb, the thenar muscles.(5) Decreased grip strength may result in loss of dexterity, and thenar muscle atrophy may develop if the syndrome is severe.(6) When the carpal tunnel syndrome reaches its maximum degree of severity, there is atrophy of the thenar .