Lack of predictive power of the 'tethered' median stress test in suspected carpal tunnel syndrome

Archives of Physical Medicine and Rehabilitation

Volumn 81, Issue 3, 2000, Pages 348-350

  Kaul, Matthew P ^a   Pagel, Keith J ^a   Dryden, John D ^a  

^a PORTLAND VA MEDICAL CENTER   (United States)

Author keywords

Carpel tunnel syndrome; Electrodiagnosis; Provocative tests

Indexed keywords

ADULT; AGED; ARTICLE; CARPAL TUNNEL SYNDROME; CONTROLLED STUDY; DIAGNOSTIC VALUE; ELECTRODIAGNOSIS; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDIAN NERVE; RELIABILITY;

EID: 0034015279     PISSN: 00039993     EISSN: None     Source Type: Journal    
DOI: 10.1053/apmr.2000.0810348     Document Type: Article

References (24)

1. Katz JN, Larson MG, Sabra A, Krarup C, Stirrat CR, Sethi R, et al. The carpal tunnel syndrome: diagnostic utility of the history and physical examination findings. Ann Intern Med 1990;112:321-7.
2. LaBan MM, Friedman NA, Zemenick GA. "Tethered" median nerve stress test in chronic carpal tunnel syndrome. Arch Phys Med Rehabil 1986;67:803-4.
3. Yii NW, Elliot D. A study of the dynamic relationship of the lubrical muscles and the carpal tunnel. J Hand Surg [Br] 1994;19: 439-43.
4. Durkan JA. A new diagnostic test for carpal tunnel syndrome. J Bone Joint Surg Am 1991;73:535-8.
5. Stevens JC. AAEM minimonograph #26: the electrodiagnosis of carpal tunnel syndrome. Muscle Nerve 1997;20:1477-86.
6. Felsenthal G. Median and ulnar distal motor and sensory latencies in the same normal subject. Arch Phys Med Rehabil 1977;58:297-302.
7. Felsenthal G. Carpal tunnel syndrome diagnosis. Arch Phys Med Rehabil 1979;60:60-90.
8. Vogt T, Mika A, Thomke F, Hopf HC. Evaluation of carpal tunnel syndrome in patients with polyneuropathy. Muscle Nerve 1997;20: 153-7.
9. Department and Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario. How to read clinical journals: II. To learn about a diagnostic test. Can Med Assoc J 1981;124: 703-10.
10. Jablecki CK, Andary MT, So YT, Wilkins DE, Williams FH. Literature review of the usefulness of nerve conduction studies and electromyography for the evaluation of patients with carpal tunnel syndrome. Muscle Nerve 1993;16:1392-414.
11. Kuschner SH, Ebramzadeh E, Johnson D, Brien WW, Sherman R. Tinel's sign and Phalen's test in carpal tunnel syndrome. Orthopedics 1992;15:1297-302.
12. Novak CB, Mackinnon SE, Brownlee R, Kelly L. Provocative sensory testing in carpal tunnel syndrome. J Hand Surg [Br] 1992;17:204-8.
13. Gellman H, Gelberman RH, Tan AM, Botte MJ. Carpal tunnel syndrome. An evaluation of the provocative diagnostic tests. J Bone Joint Surg 1986;68:735-7.
14. Seror P. Phalen's test in the diagnosis of carpal tunnel syndrome. J Hand Surg [Br] 1988;13:383-5.
15. Yii NW, Elliot D. A study of the dynamic relationship of the lumbrical muscles and the carpal tunnel. J Hand Surg [Br] 1994;19:439-43.
16. Williams TM, Mackinnon SE, Novak CB, McCabe S, Kelly L. Verification of the pressure provocative test in carpal tunnel syndrome. Ann Plast Surg 1992;29:8-11.
17. De Krom MCTFM, Knipschild PG, Kester ADM, Spaans F. Efficacy of provocative tests for diagnosis of carpal tunnel syndrome. Lancet 1990;335:393-5.
18. Buch-Jaegar N, Foucher G. Correlation of clinical signs with nerve conduction test in the diagnosis of carpal tunnel syndrome. J Hand Surg [Br] 1994;19:720-4.
19. Golding DN, Rose DM, Selvarajah K. Clinical tests for carpal tunnel syndrome: an evaluation. Br J Rheumatol 1986;25:388-90.
20. Heller L, Ring H, Costeff H, Solzi P. Evaluation of Tinel's and Phalen's signs in diagnosis of the carpal tunnel syndrome. Eur Neurol 1986;25:40-2.
21. Desmet L, Steenwerckx A, Van Den Bogaert G, Cnudde P, Fabry G. Value of clinical provocative tests in carpal tunnel syndrome. Acta Orthop Belg 1995;61:177-82.
22. Boniface SJ, Morris I, Macleod A. How does neurophysiological assessment influence the management and outcome of patients with carpal tunnel syndrome? Br J Rheumatol 1994;33:1169-70.
23. Nathan PA, Keniston RC, Meadows KD, Lockwood RS. Predictive value of nerve conduction measurements at the carpal tunnel. Muscle Nerve 1993;16:1377-82.
24. Loong SC. The carpal tunnel syndrome: a clinical and electrophysiological study in 250 patients. Clin Exp Neurol 1977;14:51-65.