Is needle examination always necessary in evaluation of carpal tunnel syndrome?

Abstract:

OBJECTIVE:To investigate whether needle evaluation added any important clinical information to normal nerve conduction studies in the evaluation of carpal tunnel syndromes. DESIGN:Retrospective review of electromyography (EMG) done with the referring diagnosis of possible carpal tunnel syndrome. SETTING:Outpatients seen for EMG evaluation at one university hospital by a single electromyographer. PATIENTS:Consecutive sample of possible carpal tunnel syndrome patients. INTERVENTIONS:None. MAIN OUTCOME MEASURE:We determined whether needle examination was abnormal when nerve conduction studies were normal. RESULTS:In patients in whom only carpal tunnel syndrome was suspected, normal nerve conduction studies predicted that EMG would be normal 89.8% of the time (p = .0494). Testing based on a larger sample size might increase the predictive value. CONCLUSIONS:There may be a subpopulation of patients referred for carpal tunnel syndrome who may be adequately evaluated by nerve conduction studies alone. Additional studies will help evaluate whether this is so.

journal_name

Arch Phys Med Rehabil

authors

Balbierz JM,Cottrell AC,Cottrell WD

doi

10.1016/s0003-9993(98)90064-8

subject

Has Abstract

pub_date

1998-05-01 00:00:00

pages

514-6

issue

5

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(98)90064-8

journal_volume

79

pub_type

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