Mi SciELO
Servicios Personalizados
Articulo
Indicadores
- Citado por SciELO
Links relacionados
- Similares en SciELO
Compartir
Revista Cubana de Ortopedia y Traumatología
versión On-line ISSN 1561-3100
Resumen
VERGARA-AMADOR, Enrique; LORES GARCIA, Francisco y MARTINEZ VILLEGAS, Tomas. Diagnostic performance of clinical tests in carpal tunnel syndrome. Proposal for a new test. Rev Cubana Ortop Traumatol [online]. 2022, vol.36, n.4 Epub 01-Dic-2022. ISSN 1561-3100.
Introduction:
The diagnosis of carpal tunnel syndrome is based on the patient's clinical signs and symptoms, supported by electrodiagnostic studies.
Objectives:
To determine the diagnostic performance of the clinical signs of carpal tunnel syndrome and the evaluation of a new model as a diagnostic proposal.
Methods:
A prospective study was carried out for diagnostic tests for carpal tunnel syndrome in patients who attended the hand surgery consultation: Tinel, Phalen, Elevation of hands, and a new proposal that we will call Elevation/Phalen.
Results:
Eighty eight (88) hands were evaluated in 47 patients with a mean age of 45 years. Tinel was positive in 63 (71.59%), Phalen in 67 (76.13%), Hand Elevation in 69 (78.4%) and Elevation/Phalen in 74 (84.09%). Regarding the pattern established for clinical comparison, the results were positive in 71 (80.6%) and negative in 17 (19.4%).
The clinical performance of Elevation/Phalen showed 88.8% of sensitivity and 78.6% of specificity, with 95.9% of positive predictive value.
Conclusions:
The Elevation/Phalen test is comparable to the classic Tinel, Phalen and Hand Elevation tests, therefore, it can be used for the clinical diagnosis of carpal tunnel syndrome.
Palabras clave : carpal tunnel syndrome; median nerve; electrodiagnosis.