CORRELATION OF CLINICAL SIGNS WITH NERVE-CONDUCTION TESTS IN THE DIAGNOSIS OF CARPAL-TUNNEL SYNDROME

被引：84

作者：

BUCHJAEGER, N ^{[1
]}

FOUCHER, G ^{[1
]}

机构：

[1] SOS MAIN STRASBOURG,F-67000 STRASBOURG,FRANCE

来源：

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME | 1994年 / 19B卷 / 06期

关键词：

D O I：

10.1016/0266-7681(94)90244-5

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：

In order to establish the need for nerve conduction studies, a prospective study has been performed on 112 patients with symptoms of carpal tunnel syndrome (172 symptomatic hands), seeking correlation with 11 clinical criteria taken either singly or in combination. Even when the patient presents with a typical clinical presentation of carpal tunnel syndrome the diagnosis is only confirmed electrophysiologically in 61% of cases. Analysis of the sensitivity and specificity of various clinical tests and diagnostic manoeuvres has shown their mediocre reliability in establishing the diagnosis with a sensitivity of 58% and a specificity of 54% for Phalen's test. We consider nerve conduction studies to be an indispensable part of the pre-operative evaluation.

引用

页码：720 / 724

页数：5

共 22 条

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