Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/6807
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Type: Journal article
Title: A systematic review of the clinical diagnostic tests for carpal tunnel syndrome
Author: Massy-Westropp, N.
Grimmer, K.
Bain, G.
Citation: Journal of Hand Surgery-American Volume, 2000; 25A(1):120-127
Publisher: W B Saunders Co
Issue Date: 2000
ISSN: 0363-5023
1531-6564
Abstract: The purpose of this report was to critically review studies of the clinical diagnostic tests for carpal tunnel syndrome. The reports were located through Medline, Current Contents, related readings, and the reference lists of the articles. They all explored the use of clinical diagnostic tests for carpal tunnel syndrome compared with the results of NCS. Criteria for systematically reviewing the studies were developed, tested for reliability, and applied to the studies. Many studies did not have sufficient detail to allow repetition of the protocol by other researchers. The sensitivities and specificities reported for each can be compared with the quality criteria ratings they each received. The literature supports the use of the wrist flexion and carpal compression test and suggests that 2-point discrimination has low sensitivity for diagnosing carpal tunnel syndrome. Many reports do not include methodology, which makes the results difficult to reproduce and to apply to other populations. (J Hand Surg 2000; 25A:120-127.
Keywords: Humans; Carpal Tunnel Syndrome; Diagnosis, Differential; Diagnostic Techniques and Procedures; Sensitivity and Specificity; Reproducibility of Results
RMID: 0001000679
DOI: 10.1053/jhsu.2000.jhsu025a0120
Appears in Collections:Orthopaedics and Trauma publications

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