Concoradance of clinical and neurophysiologic diagnoses of carpal tunnel syndrome
Introduction/Aim. Clinical presentation and neurophysiological examination are crucial in diagnosing carpal tunnel syndrome (CTS). The aim of this study was to determine sensitivity and specificity of clinical examination for diagnosing of CTS in relation to neurophysiological evaluation. M...
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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2015-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501400079M.pdf |
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| _version_ | 1849307261661347840 |
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| author | Martić Vesna |
| author_facet | Martić Vesna |
| author_sort | Martić Vesna |
| collection | DOAJ |
| description | Introduction/Aim. Clinical presentation and neurophysiological examination
are crucial in diagnosing carpal tunnel syndrome (CTS). The aim of this study
was to determine sensitivity and specificity of clinical examination for
diagnosing of CTS in relation to neurophysiological evaluation. Methods. The
sample included 181 patients referred to the neurologist for further
diagnosis of pain and parestesias in the arm (81 women and 100 men mean age
42 ± 14 years and 52 ± 16 years, respectively). All the patients were
neurophysiologicly tested. Results. Out of 181 patients, clinical findings
were considered positive for CTS in 37 patients. The neurophysiological
findings for CTS were positive in 60 patients. Both clinical and
neurophysiological findings were positive in 31 patients and both findings
were negative in 115 patients (sensitivity 0,51; specificity 0,95).
Conclusion. Low sensitivity and high specificity suggest that it is easier to
exclude rather than to accurately diagnose CTS based on clinical examination
alone. Thus, there is the need for neurophysiological evaluation of patients
with complains in the arm. |
| format | Article |
| id | doaj-art-222763cf3e264d1dbe42df68b085b15d |
| institution | Kabale University |
| issn | 0042-8450 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-222763cf3e264d1dbe42df68b085b15d2025-08-20T03:54:48ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502015-01-0172324725010.2298/VSP130417079M0042-84501400079MConcoradance of clinical and neurophysiologic diagnoses of carpal tunnel syndromeMartić Vesna0Military Medical Academy, Clinic for Neurology, Begrade + University of Defence, Faculty of Medicine of the Military Medical Academy, BelgradeIntroduction/Aim. Clinical presentation and neurophysiological examination are crucial in diagnosing carpal tunnel syndrome (CTS). The aim of this study was to determine sensitivity and specificity of clinical examination for diagnosing of CTS in relation to neurophysiological evaluation. Methods. The sample included 181 patients referred to the neurologist for further diagnosis of pain and parestesias in the arm (81 women and 100 men mean age 42 ± 14 years and 52 ± 16 years, respectively). All the patients were neurophysiologicly tested. Results. Out of 181 patients, clinical findings were considered positive for CTS in 37 patients. The neurophysiological findings for CTS were positive in 60 patients. Both clinical and neurophysiological findings were positive in 31 patients and both findings were negative in 115 patients (sensitivity 0,51; specificity 0,95). Conclusion. Low sensitivity and high specificity suggest that it is easier to exclude rather than to accurately diagnose CTS based on clinical examination alone. Thus, there is the need for neurophysiological evaluation of patients with complains in the arm.http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501400079M.pdfcarpal tunnel syndromediagnosissigns and symptomssensitivity and specificity |
| spellingShingle | Martić Vesna Concoradance of clinical and neurophysiologic diagnoses of carpal tunnel syndrome Vojnosanitetski Pregled carpal tunnel syndrome diagnosis signs and symptoms sensitivity and specificity |
| title | Concoradance of clinical and neurophysiologic diagnoses of carpal tunnel syndrome |
| title_full | Concoradance of clinical and neurophysiologic diagnoses of carpal tunnel syndrome |
| title_fullStr | Concoradance of clinical and neurophysiologic diagnoses of carpal tunnel syndrome |
| title_full_unstemmed | Concoradance of clinical and neurophysiologic diagnoses of carpal tunnel syndrome |
| title_short | Concoradance of clinical and neurophysiologic diagnoses of carpal tunnel syndrome |
| title_sort | concoradance of clinical and neurophysiologic diagnoses of carpal tunnel syndrome |
| topic | carpal tunnel syndrome diagnosis signs and symptoms sensitivity and specificity |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501400079M.pdf |
| work_keys_str_mv | AT marticvesna concoradanceofclinicalandneurophysiologicdiagnosesofcarpaltunnelsyndrome |