Carpal tunnel syndrome: Which electrodiagnostic path should we follow? A prospective study of 100 consecutive patients

Electromyography and Clinical Neurophysiology

Volumn 36, Issue 6, 1996, Pages 377-384

  Foresti, Camillo ^b   Quadri, S ^c   Rasella, M ^c   Tironi, F ^c   Viscardi, M ^c   Ubiali, Emilio ^a  

^a OSPEDALI RIUNITI   (Italy)

^b Servizio di Neurofisiopatologia   (Italy)

^c NONE

Author keywords

Carpal Tunnel Syndrome; Gold standard; Nerve conduction study; Sensibility; Specificity

Indexed keywords

ADULT; AGED; ARTICLE; CARPAL TUNNEL SYNDROME; CONTROLLED STUDY; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; NERVE CONDUCTION;

ACTION POTENTIALS; ADOLESCENT; ADULT; AGED; CARPAL TUNNEL SYNDROME; DECISION TREES; ELECTRODIAGNOSIS; ELECTROPHYSIOLOGY; EVOKED POTENTIALS, MOTOR; FEMALE; FINGERS; HAND; HUMANS; MALE; MEDIAN NERVE; MIDDLE AGED; MOTOR NEURONS; NEURONS, AFFERENT; NEUROPHYSIOLOGY; PROSPECTIVE STUDIES; REACTION TIME; REPRODUCIBILITY OF RESULTS; SENSITIVITY AND SPECIFICITY; THUMB; ULNAR NERVE; WRIST;

EID: 0029818672     PISSN: 0301150X     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (30)

1. AAEM Quality Committee, JABLECKI, C.K., ANDARY, M.T., SO, Y.T., WILKINS, D.E. and WILLIAMS, F.H.: Literature review of the usefulness of nerve conduction studies and electromyography for the evaluation of patients with carpal tunnel syndrome. Muscle Nerve, 16: 1392-1414, 1993.
2. American Academy of Neurology, American Association of Electrodiagnostic Medicine and American Academy of Physical Medicine and Rehabilitation : Practice parameter for electrodiagnostic studies in carpal tunnel syndrome (Summary statement). Neurology, 43: 2404-2405, 1993.
3. BUCHTAL, F. and ROSENFALCK, A.: Sensory Conduction from digit to palm and from palm to wrist in the carpal tunnel syndrome. J. Neurol. Neurosurg. Psychiat., 34: 243-252, 1971.
4. BUCHTAL, F., ROSENFALCK, A. and TROJABORG, W.: Electrophysiological findings in entrapment of the median nerve at wrist and elbow. J. Neurol. Neurosurg. Psychiat., 37 340-360, 1974.
5. CARROL, G.J.: Comparison of median and radial nerve sensory latencies to digit I : normal values and usefulness in carpal tunnel syndrome. Electroenceph. Clin. Neurophysiol., 68: 101-106, 1987.
6. CHANG, C.W. and LIEN, I.N.: Comparison of sensory nerve conduction in the palmar cutaneous branch and first digital branch of the median nerve: a new diagnostic method for carpal tunnel syndrome. Muscle Nerve, 14: 1173-1176, 1991.
7. CHARLES, N., VIAL, C., CHAUPLANNAZ, G. and BADY, B.: Clinical validation of antidromic stimulation of the ring finger in early electrodiagnosis of mild carpal tunnel syndrome. Electroenceph. Clin. Neurophysiol., 76: 142-147, 1991.
8. DAWSON, D., HALLET, M. and MILLENDER, L.H.: Carpal tunnel syndrome. In: Entrapment Neuropathies. Little, Brown & Co., Boston, Toronto, pp. 5-59, 1983.
9. DE KROM, M.C.T.F.M., KNIPSCHILD, P.G., KESTER, A.D.M. and SPAANS, F.: Efficacy of provocative tests for diagnosis of carpal tunnel syndrome. Lancet, 335-393-395, 1990.
10. IMAOKA, H., YORIFUJI, S., TAKAHASHI, M., NAKAMURA, Y., KITAGUCHI, M. and TARUI, S.: Improved inching method for the diagnosis and prognosis of carpal tunnel syndrome. Muscle Nerve, 15: 318-324, 1992.
11. JOHNSON, E.W.: Diagnosis of carpal tunnel syndrome. The gold standard. Editorial. Am. J. Phis. Med. Rehabil., 72: 1, 1993.
12. KIMURA, J. and AYYAR, D.R.: The carpal tunnel syndrome: electrophysiological aspects of 639 symptomatic extremities. Electromyogr. Clin. Neurophysiol., 25: 151-164, 1985.
13. KIMURA, J.: Mononeuropathies and entrapment syndromes. In: Electrodiagnosis in Disease of Nerve and Muscle : Principles and Practice. (2 ed.), Davis, Philadelphia, pp. 495-516, 1989.
14. KIMURA, J. The carpal tunnel syndrome. Localisation of conduction abnormalities within the distal segment of the median nerve. Brain, 102: 619-635, 1979.
15. LAURITZEN, M., LIGUORI R. and TROJABORG, W.: Orthodromic sensory conduction along the ring finger in normal subjects and in patients with a carpal tunnel syndrome. Electroenceph. Clin. Neurophysiol., 81: 18-23, 1991.
16. MARTINEZ, A.C.: Diagnostic yield of different electrophysiologic methods in carpal tunnel syndrome. Muscle Nerve, 2: 183-184, 1991.
17. MILLS, K.R.: Orthodromic sensory action potentials from palmar stimulation in the diagnosis of carpal tunnel syndrome. J. Neurol. Neurosurg. Psychiat., 48: 250-255, 1985.
18. MORTIER, G., DECKERS, K., Dus, H. and VANDER AUWERA, J.C.: Comparison of the distal motor latency of the ulnar nerve in carpal tunnel syndrome with a control group. Electroenceph. Clin. Neurophysiol., 28: 75-77, 1988.
19. NATHAN, P.A., KENISTON, R.C., MEADOWS, K.D. and LOCKWODD, R.S.: Predictive value of nerve conduction measurement at the carpal tannel. Muscle Nerve, 16: 1377-1382, 1993.
20. NATHAN, P.A., MEADOWS, K.D. and DOYLE, L.S.: Relationship of age and sex to sensory conduction of the median nerve at the carpal tunnel and association of slowed conduction with symptoms. Muscle Nerve, 11: 1149-1153, 1988.
21. PRESTON, D.C. and LOGIGIAN, E.L.: Lumbrical and interossei recording in carpal tunnel syndrome. Muscle Nerve, 15: 1253-1257, 1992.
22. Quality Standards Subcommittee of the American Academy of Neurology : Practice parameter for carpal tunnel syndrome (Summary statement). Neurology, 43: 2406-2409, 1993.
23. REDMONS, M.D. and RTVNER, M.H.: False positive electrodiagnostic tests in carpal tunnel syndrome. Muscle Nerve, 11: 511-517, 1988.
24. ROSEN, I.: Neurophysiological diagnosis of the carpal tunnel syndrome: evaluation of the neurographic techniques. Scan. J. Plast Reconstr. Hand. Surg., 27: 95-101, 1993.
25. SHAHANI, B.T., YOUNG, R.R., POTTS, F. and MACCABEE, P.: Terminal latency index (TLI) and late response studies in motor neuron disease (MND), peripheral neuropathies and entrapment syndromes (abstract). Acta Neurol. Scand., 73 (suppl.): 118, 1979.
26. STEVENS, J.C.: AAEE Minimonograph #26: The electrodiagnosis of carpal tunnel syndrome. Muscle Nerve, 10: 99-113, 1987.
27. UNCINI, A., DI MUZIO, A., AWAD, J., MANENTE, G., TAFURO, M. and GAMBI, D. Sensitivity of three medianto-ulnar comparative tests in diagnosis of mild carpal tunnel syndrome. Muscle Nerve, 16: 1366-1373, 1993.
28. UNCINI, A., LANGE, D.J., SOLOMON, M., SOLIVEN, B., MEER, J. and LOVELANCE, R.E.: Ring finger testing in carpal tunnel syndrome : a comparative study of diagnostic utility. Muscle Nerve, 12: 735-741, 1989.
29. VALLS, J. and LLANAS, J.M.: Orthodromic study of the sensory fibres innervating the fourth finger. Muscle Nerve, 11: 546-552, 1988.
30. WHITE, J.C., HANSEN, S.R. and JOHNSON, R.K.: A comparison of EMG procedures in the carpal tunnel syndrome with clinical-EMG correlations. Muscle Nerve, II: 1177-1182, 1988.