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Journal of Hand Surgery (British and European Volume)
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*Carpal Tunnel Syndrome
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Articles

Self-Administered Hand Symptom Diagram for Carpal Tunnel Syndrome Diagnosis

V. SHARMA
E. P. WILDER-SMITH

From the Division of Neurology, National University Hospital, Singapore

Correspondence: Dr EP. Wilder-Smith, MD, Division of Neurology, Department of Medicine, National University Hospital, 5 Lower Kent Ridge Road, Singapore 119074, Singapore. Tel: +65-67724171; fax: +65-67794112. E-mail: mdcwse{at}nus.edu.sg

In a prospective case series in Singapore we studied whether a hand symptom diagram can be used to predict carpal tunnel syndrome as defined by standardized clinical and neurophysiological protocol. Forty patients (mean age, 48 years, range 18–76) with carpal tunnel syndrome found it difficult to complete the hand diagram, and only four patients were able to mark it helpfully. There was no relation between drawings, clinical and neurophysiological parameters. A self-administered hand symptoms diagram is not useful for supporting a diagnosis of carpal tunnel syndrome amongst Singaporeans. Cultural factors may significantly influence subjective assessment scales such as the self-administered hand symptom diagram, which has been found effective in North American populations.

Key Words: carpal tunnel syndrome • hand symptom diagram • Singapore • self-administered assessment

Journal of Hand Surgery (British and European Volume), Vol. 29, No. 6, 571-574 (2004)
DOI: 10.1016/J.JHSB.2004.06.013
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