This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by NOVAK, C. B. Articles by KELLY, L. Search for Related Content PubMed PubMed Citation Articles by NOVAK, C. B. Articles by KELLY, L. Social Bookmarking                         What's this?

Provocative Sensory Testing in Carpal Tunnel Syndrome

From the Department of Surgery, Washington University, St Louis, Missouri, U.S.A

Correspondence: Dr S. E. Mackinnon, M. D., Suite 17424 East Pavilion, One Barnes Hospital Plaza, St Louis, Missouri 63110, U.S.A.

This study reports the relationship between three clinical tests in the diagnosis of carpal tunnel syndrome and the stages of nerve compression. Assessments of 158 patients with carpal tunnel syndrome were reviewed retrospectively. 77% of patients had at least one of the clinical signs present. The incidence of positive pressure-provocative and Phalen’s tests were similar and more likely to occur in combination than separately. Tinel’s sign was more likely to be positive in the later stages of nerve compression. Our results suggest that the presence or absence of a provocative test is dependent upon the severity of the nerve compression.

Journal of Hand Surgery (British and European Volume), Vol. 17, No. 2, 204-208 (1992)
DOI: 10.1016/0266-7681(92)90090-O


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?