Sensitivity of median sensory nerve conduction tests in digital branches for the diagnosis of carpal tunnel syndrome.

Abstract:

OBJECTIVE:To compare the sensitivity of median sensory nerve conduction tests performed by stimulating digital branches in patients with carpal tunnel syndrome. DESIGN:A prospective study in 506 hands of patients with carpal tunnel syndrome diagnosed electrophysiologically. RESULTS:The sensitivity of median sensory nerve conduction tests across the first three digit-to-wrist segments and palm-to-wrist segment was determined. The most common abnormal electrophysiologic finding was the slowing of sensory nerve conduction velocity over the palm-to-wrist segment, which was detected in 98.5% of the hands. Slowing of sensory nerve conduction velocity over the digit 1-, 2-, and 3-to-wrist segments of the median nerve was found in 95.4%, 88%, and 82% of the hands, respectively. CONCLUSION:The sensory nerve conduction velocity test of the digit 1-to-wrist segment has the most sensitivity among the three digital branches of the median sensory nerve, and it may be used more widely in the electrodiagnosis of carpal tunnel syndrome.

journal_name

Am J Phys Med Rehabil

authors

Aydin G,Keleş I,Ozbudak Demir S,Baysal AI

doi

10.1097/01.PHM.0000104662.71129.B9

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

17-21

issue

1

eissn

0894-9115

issn

1537-7385

journal_volume

83

pub_type

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