Symptoms of 100 patients with electromyographically verified carpal tunnel syndrome
1999; Wiley; Volume: 22; Issue: 10 Linguagem: Inglês
10.1002/(sici)1097-4598(199910)22
ISSN1097-4598
AutoresJ. Clarke Stevens, Benn E. Smith, Amy L. Weaver, E. Peter Bosch, H. Gordon Deen, James A. Wilkens,
Tópico(s)Motor Control and Adaptation
ResumoMuscle & NerveVolume 22, Issue 10 p. 1448-1456 Main Article Symptoms of 100 patients with electromyographically verified carpal tunnel syndrome† J. Clarke Stevens MD, Corresponding Author J. Clarke Stevens MD Department of Neurology, Mayo Clinic Scottsdale, 13400 East Shea Boulevard, Scottsdale, Arizona, USADepartment of Neurology, Mayo Clinic Scottsdale, 13400 East Shea Boulevard, Scottsdale, Arizona, USASearch for more papers by this authorBenn E. Smith MD, Benn E. Smith MD Department of Neurology, Mayo Clinic Scottsdale, 13400 East Shea Boulevard, Scottsdale, Arizona, USASearch for more papers by this authorAmy L. Weaver MS, Amy L. Weaver MS Section of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USASearch for more papers by this authorE. Peter Bosch MD, E. Peter Bosch MD Department of Neurology, Mayo Clinic Scottsdale, 13400 East Shea Boulevard, Scottsdale, Arizona, USASearch for more papers by this authorH. Gordon Deen Jr. MD, H. Gordon Deen Jr. MD Department of Neurologic Surgery, Mayo Clinic Scottsdale, Scottsdale, Arizona, USASearch for more papers by this authorJames A. Wilkens MD, James A. Wilkens MD Division of Regional and International Medicine, Mayo Clinic Scottsdale, Scottsdale, Arizona, USASearch for more papers by this author J. Clarke Stevens MD, Corresponding Author J. Clarke Stevens MD Department of Neurology, Mayo Clinic Scottsdale, 13400 East Shea Boulevard, Scottsdale, Arizona, USADepartment of Neurology, Mayo Clinic Scottsdale, 13400 East Shea Boulevard, Scottsdale, Arizona, USASearch for more papers by this authorBenn E. Smith MD, Benn E. Smith MD Department of Neurology, Mayo Clinic Scottsdale, 13400 East Shea Boulevard, Scottsdale, Arizona, USASearch for more papers by this authorAmy L. Weaver MS, Amy L. Weaver MS Section of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USASearch for more papers by this authorE. Peter Bosch MD, E. Peter Bosch MD Department of Neurology, Mayo Clinic Scottsdale, 13400 East Shea Boulevard, Scottsdale, Arizona, USASearch for more papers by this authorH. Gordon Deen Jr. MD, H. Gordon Deen Jr. MD Department of Neurologic Surgery, Mayo Clinic Scottsdale, Scottsdale, Arizona, USASearch for more papers by this authorJames A. Wilkens MD, James A. Wilkens MD Division of Regional and International Medicine, Mayo Clinic Scottsdale, Scottsdale, Arizona, USASearch for more papers by this author First published: 15 September 1999 https://doi.org/10.1002/(SICI)1097-4598(199910)22:10 3.0.CO;2-YCitations: 110 † Presented in part at the annual meeting of the American Association of Electrodiagnostic Medicine, San Diego, CA, September 1997 AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract To determine the symptoms of carpal tunnel syndrome (CTS), screening evaluations were performed in 244 consecutive patients with sensory symptoms in the hand and unequivocal slowing of median nerve conduction at the wrist. This yielded 100 patients thought to have no explanation other than CTS for their upper limb complaints. These patients completed a hand symptom diagram (HSD) and questionnaire (HSQ) about their symptoms. CTS symptoms were most commonly reported in median and ulnar digits, followed by median digits only and a glove distribution. Unusual sensory patterns were reported by some patients. Based on the HSQ, paresthesias or pain proximal to the wrist occurred in 36.5% of hands. The usefulness of the HSD and HSQ for diagnosis was determined by asking three physicians, blinded to the diagnosis, to rate the likelihood of CTS in the patients with CTS and in 50 patients with other causes of upper extremity paresthesia. The sensitivities of the instruments ranged from 54.1% to 85.5%. Combining the HSD and HSQ ratings increased the range of sensitivities to 79.3% to 93.7%. © 1999 John Wiley & Sons, Inc. Muscle Nerve 22: 1448–1456, 1999 REFERENCES 1Bowles APJr, Asher SW, Pickett JB. Use of Tinel's sign in carpal tunnel syndrome [letter]. Ann Neurol 1983; 13: 689–690. Medline 2Carroll GJ. Comparison of median and radial nerve sensory latencies in the electrophysiological diagnosis of carpal tunnel syndrome. Electroencephalogr Clin Neurophysiol 1987; 68: 101–106. Medline 3Charles N, Vial C, Chauplannaz G, Bady B. Clinical validation of antidromic stimulation of the ring finger in early electrodiagnosis of mild carpal tunnel syndrome. 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