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Journal of Hand Surgery (British and European Volume)
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Articles

Correlation of Clinical Signs with Nerve Conduction Tests in the Diagnosis of Carpal Tunnel Syndrome

N. BUCH-JAEGER
G. FOUCHER

From S. O. S. Main Strasbourg, France

Correspondence: Guy Foucher, S.O.S. Main Strasbourg, 4 Boulevard du Président Edwards 67000 Strasbourg, France.

In order to establish the need for nerve conduction studies, a prospective study has been performed on 112 patients with symptoms of carpal tunnel syndrome (172 symptomatic hands), seeking correlation with 11 clinical criteria taken either singly or in combination.

Even when the patient presents with a typical clinical presentation of carpal tunnel syndrome the diagnosis is only confirmed electrophysiologically in 61% of cases. Analysis of the sensitivity and specificity of various clinical tests and diagnostic manoeuvres has shown their mediocre reliability in establishing the diagnosis with a sensitivity of 58% and a specificity of 54% for Phalen’s test.

We consider nerve conduction studies to be an indispensable part of the pre-operative evaluation.

Journal of Hand Surgery (British and European Volume), Vol. 19, No. 6, 720-724 (1994)
DOI: 10.1016/0266-7681(94)90244-5
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Home page
 J Hand Surg Eur VolHome page
T. E. J. HEMS, R. MILLER, A. MASSRAF, and J. GREEN
Assessment of a diagnostic questionnaire and protocol for management of carpal tunnel syndrome
J Hand Surg Eur Vol., October 1, 2009; 34(5): 665 - 670.
[Abstract] [Full Text] [PDF]