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| Diagnostic Testing for Carpal Tunnel
Syndrome |
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Carpal Tunnel Syndrome (CTS) is a
condition that results from compression of the median nerve within
the carpal tunnel of the wrist. Numbness and tingling of the thumb,
index finger and middle fingers are common complaints. Early and
accurate diagnosis of CTS is critical for planning effective
treatment modalities. |
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| A detailed history and a physical examination
are easily performed in an office setting. |
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| The value of Diagnostic Testing in CTS was
recently presented in an article in the Journal of Hand Surgery...(Szabo,
RM et al, Journal of Hand Surgery 1999; 24A: 704-714). The authors
found that in patients with abnormal hand diagrams, a positive
Durkan CTS test, abnormal sensibility by Semes-Weinstein testing and
night pain, the probability the CTS will be diagnosed is 0.86. If
all 4 of these conditions are normal, the probability of that the
patients have CTS is 0.0068. The addition of electrodiagnistic
testing did not increase the diagnostic power of the combination of
these 4 clinical tests. Click here to view the abstract from this
article. |
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| Gorge Medical offers a variety of
screening tools useful to Hand Surgeons, Orthopedic Surgeons,
Occupational and Physical Therapists and Nurses and other
Health-care professionals. |
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| The illustration on the right shows the
median nerve passing through the flexor retinaculum on the palm side
of the wrist. The carpal tunnel is formed by this retinaculum on the
roof and the bones of the wrist on the remaining three sides. Flexor
tendons of the wrist, thumb and four fingers also pass through the
carpal tunnel. |
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| If you would like to view
study results and related journal articles and publications, please call us at
800-354-8044. |
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