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Titre du document / Document title

Diagnóstico clínico del síndrome del túnel Carpiano = Clinical diagnosis of the carpal tunnel syndrome

Auteur(s) / Author(s)

DIAZ BORREGO P. (1) ; FERNANDEZ TORRICO J. M. (2) ; CALVO GUISADO M. J. (1) ; JIMENEZ-CASTELLANOS BALLESTEROS R. (3) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Médico Interno Residente (MIR) especialidad Medicina Física y Rehabilitación. Hospital Universitario Virgen Macarena, Sevilla, ESPAGNE
(2) Facultativo Especialista Adjunto (FEA) de Medicina Fisica y Rehabilitación. Hospital Universitario Virgen Macarena, Sevilla, ESPAGNE
(3) Facultativo Especialista Adjunto (FEA) de Neurofisiología Clínica. Hospital Universitario Virgen Macarena, Sevilla, ESPAGNE

Résumé / Abstract

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.

Revue / Journal Title

Rehabilitación    ISSN  0048-7120 

Source / Source

2003, vol. 37, no5, pp. 235-239 [5 page(s) (article)] (21 ref.)

Langue / Language

Espagnol

Editeur / Publisher

Garsi, Madrid, ESPAGNE  (1967) (Revue)

Mots-clés anglais / English Keywords

Diseases of the osteoarticular system

;

Nervous system diseases

;

Peripheral nerve disease

;

Wrist

;

Median nerve

;

Human

;

Diagnosis

;

Peripheral neuropathy

;

Finger

;

Carpal tunnel syndrome

;

Mots-clés français / French Keywords

Système ostéoarticulaire pathologie

;

Système nerveux pathologie

;

Nerf périphérique pathologie

;

Compression nerf

;

Poignet

;

Nerf médian

;

Homme

;

Diagnostic

;

Neuropathie périphérique

;

Doigt

;

Canal carpien syndrome

;

Mots-clés espagnols / Spanish Keywords

Sistema osteoarticular patología

;

Sistema nervioso patología

;

Nervio periférico patología

;

Muñeca

;

Nervio mediano

;

Hombre

;

Diagnóstico

;

Neuropatía periférica

;

Dedo

;

Túnel carpiano síndrome

;

Localisation / Location

INIST-CNRS, Cote INIST : 26885, 35400011975738.0010

Nº notice refdoc (ud4) : 15227612



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