A SELF-ADMINISTERED HAND DIAGRAM FOR THE DIAGNOSIS OF CARPAL-TUNNEL SYNDROME

被引：83

作者：

KATZ, JN

STIRRAT, CR

机构：

[1] Department of Rheumatology and Immunology, Brigham and Women's Hospital, Boston, Mass

[2] Longwood Hand Center, Boston, Mass

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1990年 / 15A卷 / 02期

关键词：

D O I：

10.1016/0363-5023(90)90124-A

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：

A self-administered hand diagram has been developed to assist in the evaluation of upper extremity paresthesias. A rating system was devised to classify diagrams into four categories: classic, probable, possible, or unlikely carpal tunnel syndrome. Diagram ratings of 63 patients (85 hands) evaluated in a hand clinic were compared with diagnoses established independent of diagram results by objective clinical criteria. The sensitivity of diagrams rated classic or probable was 80% and specificity was 90%. We conclude that the hand diagram is valuable in the diagnosis of carpal tunnel syndrome among patients with upper extremity paresthesias. © 1990.

引用

页码：360 / 363

页数：4

共 10 条

[1]

Stevens, Sun, Beard, O'Fallon, Kurland, Carpal tunnel syndrome in Rochester, Minnesota, 1961 to 1980, Neurology, 38, pp. 134-138, (1988)

[2]

Hoffman, Carpal tunnel syndrome: importance of sensory nerve conduction studies in the diagnosis, JAMA, 233, pp. 983-984, (1975)

[3]

Phalen, The carpal tunnel syndrome: seventeen years experience in diagnosis and treatment of six hundred fifty-four hands, J Bone Joint Surg, 48 A, pp. 211-228, (1966)

[4]

Golding, Rose, Selvarajah, Clinical tests for carpal tunnel syndrome: an evaluation, Br J Rheum, 25, pp. 388-390, (1986)

[5]

Seror, Electroclinical correlation observed in the course of carpal tunnel syndrome: a study of 100 cases, Revue du Rhumatisme, 54, pp. 643-648, (1987)

[6]

Gellman, Gelberman, Tan, Botle, Carpal tunnel syndrome: an evaluation of the provocative diagnostic tests, J Bone Joint Surg, 68 A, pp. 735-737, (1986)

[7]

Jetzer, Conrad, The role of CT scanning and vibrometry testing in the diagnostic evaluation of carpal tunnel syndrome, (1986)

[8]

Stevens, The electrodiagnosis of carpal tunnel syndrome, Muscle Nerve, 10, pp. 99-113, (1987)

[9]

Nathan, Meadows, Doyle, Occupation as a risk factor for impaired sensory conduction at the median nerve of the carpal tunnel, J Hand Surg, 13 B, pp. 167-170, (1988)

[10]

Ransford, Cairns, Mooney, The pain drawing as an aid to the psychological evaluation of patients with low back pain, Spine, 1, pp. 127-134, (1976)

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