Détail de la notice
Titre du Document
Diagnóstico clínico del síndrome del túnel Carpiano
Clinical diagnosis of the carpal tunnel syndrome
Auteur(s)
DIAZ BORREGO P. ; FERNANDEZ TORRICO J. M. ; CALVO GUISADO M. J. ; ...
Résumé
Introduction: The carpal tunnel syndrome is presently the most frequent neuropathy. The signs used for its diagnosis vary greatly in sensitivity and specificity. Our objective was to determine the sensitivity and specificity of our common clinical signs in the clinical practice and their possible combinations. Material and method: We assessed the patients referred due to suspicion of carpal tunnel syndrome (CTS) over four months. The diagnosis was confirmed by an electromyographic and electroneurographic study. We evaluated 53 patients, 27 of whom presented the carpal tunnel syndrome. The signs studied were: tinel, inverse Phalen, digital median nerve compression and Johnson sign of square wrist. Results: We studied sensitivity, specificity and prediction values of each sign and their associations. The significant statistical data were: inverse Phalen, finger pressure, tinel + inverse Phalen, inverse Phalen + finger pressure, Phalen + Johnson index, finger pressure + Johnson index, tinel + inverse Phalen + finger pressure, inverse Phalen + finger pressure + Johnson index. Discussion: The association of negativity in the four signs analyzed offered the best likelihood of not presenting carpal intrapment. The rest of the signs or combinations did not present strong statistical significance.
Editeur
Garsi
Identifiant
ISSN : 0048-7120
Source
Rehabilitación (Madrid) A. 2003, vol. 37, n° 5, pp. 235-239 [5 pages] [bibl. : 21 ref.]
Langue
Espagnol
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