PROVOCATIVE SENSORY TESTING IN CARPAL-TUNNEL SYNDROME

被引:28
作者
NOVAK, CB [1 ]
MACKINNON, SE [1 ]
BROWNLEE, R [1 ]
KELLY, L [1 ]
机构
[1] WASHINGTON UNIV,DEPT SURG,ST LOUIS,MO 63130
关键词
D O I
10.1016/0266-7681(92)90090-O
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
This study reports the relationship between three clinical tests in the diagnosis of carpal tunnel syndrome and the stages of nerve compression. Assessments of 158 patients with carpal tunnel syndrome were reviewed retrospectively. 77% of patients had at least one of the clinical signs present. The incidence of positive pressure-provocative and Phalen's tests were similar and more likely to occur in combination than separately. Tinel's sign was more likely to be positive in the later stages of nerve compression. Our results suggest that the presence or absence of a provocative test is dependent upon the severity of the nerve compression.
引用
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页码:204 / 208
页数:5
相关论文
共 11 条
[1]  
DellON A.L., Mackinnon S.E., Crosby P.M., Reliability of two point discrimination measurements, Journal of Hand Surgery, 12A, 51, pp. 693-696, (1987)
[2]  
Gellman H., Gelberman R.H., Tan A.M., Botte M.J., Carpal tunnel syndrome, An evaluation of the provocative diagnostic tests, Journal of Bone and Joint Surgery, 68A, 5, pp. 735-737, (1986)
[3]  
Loong S.C., The carpal tunnel syndrome: A clinical and electrophysiological study in 250 patients, Clinical and Experimental Neurology, 14, pp. 51-65, (1977)
[4]  
Mackinnon S.E., DellON A.L., Two-point discrimination tester, Journal of Hand Surgery, 10A, 61, pp. 906-907, (1985)
[5]  
Mackinnon S.E., DellON A.L., Surgery of the Peripheral Nerve, (1988)
[6]  
Melvin J.L., Schuchmann J.A., Lanese R.R., Diagnostic specificity of motor and sensory nerve conduction variables in the carpal tunnel syndrome, Archives of Physical Medicine and Rehabilitation, 54, 2, pp. 69-74, (1973)
[7]  
Paley D., Mcmurtry R.Y., Median nerve compression test in carpal tunnel syndrome diagnosis, reproduces signs and symptoms in affected wrist, Orthopaedic Review, 14, 7, pp. 41-45, (1985)
[8]  
Phalen G.S., The carpal-tunnel syndrome. Clinical evaluation of 598 hands, Clinical Orthopedics and Related Research, 83, pp. 29-40, (1972)
[9]  
Redmond M.D., Rivner M.H., False positive electrodiagnostic tests in carpal tunnel syndrome, Muscle and Nerve, 11, pp. 511-517, (1988)
[10]  
Seror P., Phalen's test in the diagnosis of carpal tunnel syndrome, Journal of Hand Surgery, 13B, 4, pp. 383-385, (1988)