Assessment of a diagnostic questionnaire and protocol for management of carpal tunnel syndrome

One hundred and fifty-two patients with suspected carpal tunnel syndrome (CTS) completed a questionnaire, including questions about the location of paraesthesia, nocturnal pain, the effect of shaking the hand, relief by use of a wrist splint and impairment of manual dexterity. A score was derived fr...

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Bibliographic Details
Published in:The Journal of hand surgery, European volume European volume, 2009-10, Vol.34 (5), p.665-670
Main Authors: HEMS, T. E. J., MILLER, R., MASSRAF, A., GREEN, J.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Carpal Tunnel Syndrome - complications
Carpal Tunnel Syndrome - diagnosis
Carpal Tunnel Syndrome - surgery
Clinical Protocols
Cohort Studies
Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction
Diseases of the osteoarticular system
Female
Humans
Male
Medical sciences
Middle Aged
Nervous system (semeiology, syndromes)
Neural Conduction
Neurology
Pain Measurement
Patient Selection
Predictive Value of Tests
ROC Curve
Surveys and Questionnaires
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Summary:One hundred and fifty-two patients with suspected carpal tunnel syndrome (CTS) completed a questionnaire, including questions about the location of paraesthesia, nocturnal pain, the effect of shaking the hand, relief by use of a wrist splint and impairment of manual dexterity. A score was derived from the symptom questionnaire and clinical signs including Tinel’s test, Phalen’s test, and altered sensation. Nerve conduction studies (NCS) were done in 91 cases in which the diagnosis of CTS was in doubt. A threshold questionnaire score was selected as indicating a diagnosis of CTS. Sixty-six patients were predicted to have CTS. When compared with the results of NCS this score had a specificity of 67% and sensitivity of 82%. Ninety-five patients underwent carpal tunnel release. A management model has been developed based on the questionnaire score for symptoms and signs.
ISSN:1753-1934
2043-6289
DOI:10.1177/1753193409105566