The use of routine wrist radiography in the evaluation of patients with carpal tunnel syndrome

被引:17
作者
Bindra, RR [1 ]
Evanoff, BA [1 ]
Chough, LY [1 ]
Cole, RJ [1 ]
Chow, JCY [1 ]
Gelberman, RH [1 ]
机构
[1] WASHINGTON UNIV, SCH MED, DEPT ORTHOPAED SURG, ST LOUIS, MO 63110 USA
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1997年 / 22A卷 / 01期
关键词
D O I
10.1016/S0363-5023(05)80190-X
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
The objective of this study was to evaluate the use of routine wrist radiography in the evaluation of patients with carpal tunnel syndrome (CTS). In the setting of a community-based hand surgery practice, we performed a retrospective review of charts and radiographs for 300 consecutive patients (447 wrists) meeting clinical and electrophysiologic criteria for CTS. Data on all patients included information obtained by the use of medical history questionnaires, physical examinations, nerve conduction studies, and radiographs of the wrist. Abnormalities were noted in 146 of 447 wrist radiographs (33%). Eighty-three (18.6%) had abnormalities that might have been implicated in the development of CTS, although these findings would not alter management. For only 2 of 447 wrists (0.4% of wrists; 0.6% of patients) were there radiographic findings of therapeutic significance. Radiographic charges were calculated to be $5,869 to $20,115 for each finding of therapeutic significance. We conclude that wrist radiographs should not be performed routinely in patients with CTS, owing to the low yield of useful information.
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页码:115 / 119
页数:5
相关论文
共 26 条
[1]  
*AM AC ORTH SURG, 1991, CLIN POL CARP TUNN S
[2]   THE PREVALENCE OF DEGENERATIVE ARTHRITIS OF THE BASE OF THE THUMB IN POSTMENOPAUSAL WOMEN [J].
ARMSTRONG, AL ;
HUNTER, JB ;
DAVIS, TRC .
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1994, 19B (03) :340-341
[3]   FRACTURE OF THE HAMATE HOOK [J].
BISHOP, AT ;
BECKENBAUGH, RD .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1988, 13A (01) :135-139
[4]   LUMBAR SPINE FILMS IN PRIMARY CARE - CURRENT USE AND EFFECTS OF SELECTIVE ORDERING CRITERIA [J].
DEYO, RA ;
DIEHL, AK .
JOURNAL OF GENERAL INTERNAL MEDICINE, 1986, 1 (01) :20-25
[5]   CARPAL-TUNNEL SYNDROME DUE TO CARPAL OSTEOPHYTE [J].
ENGEL, J ;
ZINNEMAN, H ;
TSUR, H ;
FARIN, I .
HAND, 1978, 10 (03) :283-284
[6]   THE PREVALENCE OF CARPAL-TUNNEL SYNDROME IN PATIENTS WITH BASAL JOINT ARTHRITIS OF THE THUMB [J].
FLORACK, TM ;
MILLER, RJ ;
PELLEGRINI, VD ;
BURTON, RI ;
DUNN, MG .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1992, 17A (04) :624-630
[7]   CARPAL-TUNNEL SYNDROME - AN EVALUATION OF THE PROVOCATIVE DIAGNOSTIC-TESTS [J].
GELLMAN, H ;
GELBERMAN, RH ;
TAN, AM ;
BOTTE, MJ .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1986, 68A (05) :735-737
[8]   CARPAL-TUNNEL SYNDROME IN CHONDROCALCINOSIS OF THE WRIST - CLINICAL AND HISTOLOGIC-STUDY [J].
GERSTER, JC ;
LAGIER, R ;
BOIVIN, G ;
SCHNEIDER, C .
ARTHRITIS AND RHEUMATISM, 1980, 23 (08) :926-931
[9]   CARPAL-TUNNEL SYNDROME ASSOCIATED WITH MIXED CALCIUM PYROPHOSPHATE DIHYDRATE AND APATITE CRYSTAL DEPOSITION IN TENDON SYNOVIAL SHEATH [J].
LAGIER, R ;
BOIVIN, G ;
GERSTER, JC .
ARTHRITIS AND RHEUMATISM, 1984, 27 (10) :1190-1195
[10]  
Lee D J, 1993, Orthop Rev, V22, P842