ASSESSMENT OF A DIAGNOSTIC QUESTIONNAIRE AND PROTOCOL FOR MANAGEMENT OF CARPAL TUNNEL SYNDROME

被引：5

作者：

Hems, T. E. J. ^{[1
]}

Miller, R. ^{[1
]}

Massraf, A. ^{[1
]}

Green, J. ^{[1
]}

机构：

[1] Victoria Infirm, Dept Orthopaed Surg, Glasgow G42 9TY, Lanark, Scotland

来源：

JOURNAL OF HAND SURGERY-EUROPEAN VOLUME | 2009年 / 34E卷 / 05期

关键词：

carpal tunnel syndrome; diagnosis; questionnaire; NERVE-CONDUCTION;

D O I：

10.1177/1753193409105566

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：

One hundred and fifty-two patients with suspected carpal tunnel syndrome (CTS) completed a questionnaire, including questions about the location of paraesthesia, nocturnal pain, the effect of shaking the hand, relief by use of a wrist splint and impairment of manual dexterity. A score was derived from the symptom questionnaire and clinical signs including Tinel's test, Phalen's test, and altered sensation. Nerve conduction studies (NCS) were done in 91 cases in which the diagnosis of CTS was in doubt. A threshold questionnaire score was selected as indicating a diagnosis of CTS. Sixty-six patients were predicted to have CTS. When compared with the results of NCS this score had a specificity of 67% and sensitivity of 82%. Ninety-five patients underwent carpal tunnel release. A management model has been developed based on the questionnaire score for symptoms and signs.

引用

页码：665 / 670

页数：6

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