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Arch Orthop Trauma Surg. 2011 Apr;131(4):471-4. doi: 10.1007/s00402-010-1150-z. Epub 2010 Aug 6.

Clinical tests for carpal tunnel syndrome in contemporary practice.

Author information

1
Department of Hand Surgery, Bristol Royal Infirmary, Bristol BS2 8HW, UK. ramirfeyz@yahoo.com

Abstract

INTRODUCTION:

A study conducted to establish the most accurate combination of questionnaire and physical signs for the diagnosis of carpal tunnel syndrome.

METHOD:

Nerve conduction studies confirmed 70 patients with having carpal tunnel syndrome who were enrolled along with 70 age- and sex-matched controls. Patients were assessed using a symptom questionnaire, Phalen's test, Hoffmann-Tinel's sign, hand elevation test, carpal compression test, tourniquet test, pressure aesthesiometry and two-point discrimination.

RESULTS:

Through multivariate analysis, the best combination of tests was tourniquet, carpal compression and Phalen's tests but the difference between these and hand elevation test alone was negligible.

CONCLUSION:

The hand elevation test may be used in isolation and is superior to questionnaires and other physical signs in the clinical diagnosis of carpal tunnel syndrome.

PMID:
20690027
DOI:
10.1007/s00402-010-1150-z
[Indexed for MEDLINE]

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