Accessible Unlicensed Requires Authentication Published by De Gruyter June 12, 2018

Diagnosis of carpal tunnel syndrome

Inge Petter Kleggetveit and Ellen Jørum

  1. Conflict of interest: None declared.

References

[1] Izadi S, Kardeh B, Hooshiar SSH, Neydavoodi M, Borhani-Haghighi A. Correlation of clinical grading, physical tests and nerve conduction study in carpal tunnel syndrome. Scand J Pain 2018;18:345–50.2979426210.1515/sjpain-2017-0164Search in Google Scholar

[2] Atroshi I, Gummesson C, Johnsson R, Ornstein E, Ranstam J, Rosen I. Prevalence of carpal tunnel syndrome in a general population. J Am Med Assoc 1999;282:153–8.10.1001/jama.282.2.153Search in Google Scholar

[3] UpToDate. Carpal tunnel syndrome: Etiology and epidemiology [27.04.18].Search in Google Scholar

[4] Kozak A, Schedlbauer G, Wirth T, Euler U, Westermann C, Nienhaus A. Association between work-related biomechanical risk factors and the occurrence of carpal tunnel syndrome: an overview of systematic reviews and a meta-analysis of current research. BMC Musculoskelet Disord 2015;16:231.10.1186/s12891-015-0685-0Search in Google Scholar

[5] Burton C, Chesterton LS, Davenport G. Diagnosing and managing carpal tunnel syndrome in primary care. Br J Gen Pract 2014;64:262–3.10.3399/bjgp14X67990324771836Search in Google Scholar

[6] Calandruccio JH, Thompson NB. Carpal tunnel syndrome: making evidence-based treatment decisions. Orthop Clin N Am 2018;49:223–9.10.1016/j.ocl.2017.11.009Search in Google Scholar

[7] Jarvik JG, Comstock BA, Kliot M, Turner JA, Chan L, Heagerty PJ, Hollingworth W, Kerrigan CL, Deyo RA. Surgery versus non-surgical therapy for carpal tunnel syndrome: a randomised parallel-group trial. Lancet 2009;374:1074–81.1978287310.1016/S0140-6736(09)61517-8Search in Google Scholar

[8] Verdugo RJ, Salinas RS, Castillo J, Cea JG. Surgical versus non-surgical treatment for carpal tunnel syndrome. Cochrane Database Syst Rev 2003:CD001552.12917909Search in Google Scholar

[9] Padua L, Padua R, Aprile I, Pasqualetti P, Tonali P. Multiperspective follow-up of untreated carpal tunnel syndrome: a multicenter study. Neurology 2001;56:1459–66.1140210110.1212/WNL.56.11.1459Search in Google Scholar

[10] Ortiz-Corredor F, Enriquez F, Diaz-Ruiz J, Calambas N. Natural evolution of carpal tunnel syndrome in untreated patients. Clin Neurophysiol 2008;119:1373–8.10.1016/j.clinph.2008.02.01218396098Search in Google Scholar

[11] BMJ Best Practice. Carpal Tunnel Syndrome. [27.04.18].Search in Google Scholar

[12] Karl JW, Gancarczyk SM, Strauch RJ. Complications of Carpal Tunnel Release. Orthop Clin N Am 2016;47:425–33.10.1016/j.ocl.2015.09.015Search in Google Scholar

[13] Zanette G, Marani S, Tamburin S. Extra-median spread of sensory symptoms in carpal tunnel syndrome suggests the presence of pain-related mechanisms. Pain 2006;122:264–70.1653096610.1016/j.pain.2006.01.034Search in Google Scholar

[14] Stevens JC, Smith BE, Weaver AL, Bosch EP, Deen HG, Jr, Wilkens JA. Symptoms of 100 patients with electromyographically verified carpal tunnel syndrome. Muscle Nerve 1999;22:1448–56.10.1002/(SICI)1097-4598(199910)22:10<1448::AID-MUS17>3.0.CO;2-Y10487914Search in Google Scholar

[15] Bland JD. Carpal tunnel syndrome. Br Med J 2007;335:343–6.10.1136/bmj.39282.623553.ADSearch in Google Scholar

[16] Bland JD. Nerve conduction studies for carpal tunnel syndrome: gold standard or unnecessary evil? Orthopedics 2017;40:198.10.3928/01477447-20170627-0128732100Search in Google Scholar

[17] Bland JD. Do nerve conduction studies predict the outcome of carpal tunnel decompression? Muscle Nerve 2001;24:935–40.1141092110.1002/mus.1091Search in Google Scholar

[18] Crone C, Krarup C. Neurophysiological approach to disorders of peripheral nerve. Handb Clin Neurol 2013;115:81–114.2393177610.1016/B978-0-444-52902-2.00006-0Search in Google Scholar

[19] Becker SJ, Makanji HS, Ring D. Changes in treatment plan for carpal tunnel syndrome based on electrodiagnostic test results. J Hand Surg Eur Vol 2014;39:187–93.10.1177/175319341349790323906785Search in Google Scholar

[20] Werner RA, Andary M. Electrodiagnostic evaluation of carpal tunnel syndrome. Muscle Nerve 2011;44:597–607.2192247410.1002/mus.22208Search in Google Scholar

[21] Sandin KJ, Asch SM, Jablecki CK, Kilmer DD, Nuckols TK. Clinical quality measures for electrodiagnosis in suspected carpal tunnel syndrome. Muscle Nerve 2010;41:444–52.10.1002/mus.2161720336661Search in Google Scholar

[22] Padua L, Giannini F, Girlanda P, Insola A, Luchetti R, Lo Monaco M, Padua R, Uncini A, Tonali P. Usefulness of segmental and comparative tests in the electrodiagnosis of carpal tunnel syndrome: the Italian multicenter study. Italian CTS Study Group. Ital J Neurol Sci 1999;20:315–20.10.1007/s100720050047Search in Google Scholar

[23] Srikanteswara PK, Cheluvaiah JD, Agadi JB, Nagaraj K. The Relationship between nerve conduction study and clinical grading of carpal tunnel syndrome. J Clin Diagn Res 2016;10:13–8.Search in Google Scholar

[24] Preston DC, Shapiro BE. Electromyography and neuromuscular disorders: clinical-electrophysiological correlations. 3rd ed. Philadelphia, PA, USA: Elsevier Saunders, 2013.Search in Google Scholar

[25] Jablecki CK, Andary MT, Floeter MK, Miller RG, Quartly CA, Vennix MJ, Wilson JR. Practice parameter: electrodiagnostic studies in carpal tunnel syndrome. Report of the American Association of Electrodiagnostic Medicine, American Academy of Neurology, and the American Academy of Physical Medicine and Rehabilitation. Neurology 2002;58:1589–92.10.1212/WNL.58.11.1589Search in Google Scholar

[26] Nathan PA, Keniston RC, Myers LD, Meadows KD, Lockwood RS. Natural history of median nerve sensory conduction in industry: relationship to symptoms and carpal tunnel syndrome in 558 hands over 11 years. Muscle Nerve 1998;21:711–21.10.1002/(SICI)1097-4598(199806)21:6<711::AID-MUS2>3.0.CO;2-A9585324Search in Google Scholar

[27] Padua L, LoMonaco M, Gregori B, Valente EM, Padua R, Tonali P. Neurophysiological classification and sensitivity in 500 carpal tunnel syndrome hands. Acta Neurol Scand 1997;96:211–7.9325471Search in Google Scholar

[28] Bland JD. A neurophysiological grading scale for carpal tunnel syndrome. Muscle Nerve 2000;23:1280–3.1091826910.1002/1097-4598(200008)23:8<1280::AID-MUS20>3.0.CO;2-YSearch in Google Scholar

[29] Stevens JC. AAEM minimonograph #26: the electrodiagnosis of carpal tunnel syndrome. American Association of Electrodiagnostic Medicine. Muscle Nerve 1997;20:1477–86.10.1002/(SICI)1097-4598(199712)20:12<1477::AID-MUS1>3.0.CO;2-5Search in Google Scholar

[30] Malladi N, Micklesen PJ, Hou J, Robinson LR. Correlation between the combined sensory index and clinical outcome after carpal tunnel decompression: a retrospective review. Muscle Nerve 2010;41:453–7.1994134510.1002/mus.21556Search in Google Scholar

[31] UpToDate. Carpal tunnel syndrome: clinical manifestations and diagnosis. [27.04.18].Search in Google Scholar

[32] Scadding JW, Koltzenburg M. Painful peripheral neuropathies. In: McMahon SB, Koltzenburg M, editors. Wall and Melzack’s Textbook of Pain. 5th ed. Amsterdam, The Netherlands: Elsevier Limited, 2006:973–99.Search in Google Scholar

[33] Burke D. Microneurography, impulse conduction, and paresthesias. Muscle Nerve 1993;16:1025–32.10.1002/mus.8801610058413355Search in Google Scholar

[34] Han SE, Lin CS, Boland RA, Bilston LE, Kiernan MC. Changes in human sensory axonal excitability induced by focal nerve compression. J Physiol 2010;588(Pt 10):1737–45.10.1113/jphysiol.2010.18816920351048Search in Google Scholar

[35] Osborne NR, Anastakis DJ, Davis KD. Peripheral nerve injuries, pain, and neuroplasticity. J Hand Ther 2018;31:184–94.2970619610.1016/j.jht.2018.01.011Search in Google Scholar

[36] Giannini F, Cioni R, Mondelli M, Padua R, Gregori B, D’Amico P, Padua L. A new clinical scale of carpal tunnel syndrome: validation of the measurement and clinical-neurophysiological assessment. Clin Neurophysiol 2002;113:71–7.10.1016/S1388-2457(01)00704-011801427Search in Google Scholar

[37] Schmid AB, Bland JD, Bhat MA, Bennett DL. The relationship of nerve fibre pathology to sensory function in entrapment neuropathy. Brain 2014;137(Pt 12):3186–99.2534862910.1093/brain/awu288Search in Google Scholar

[38] Clarke C, Christensen C, Curran MWT, Chan KM. Assessment of small sensory fiber function across the spectrum of severity in carpal tunnel syndrome patients. Muscle Nerve 2017;56:814–6.10.1002/mus.2559228128860Search in Google Scholar

[39] Arendt-Nielsen L, Gregersen H, Toft E, Bjerring P. Involvement of thin afferents in carpal tunnel syndrome: evaluated quantitatively by argon laser stimulation. Muscle Nerve 1991;14:508–14.10.1002/mus.8801406041852157Search in Google Scholar

[40] Themistocleous AC, Ramirez JD, Serra J, Bennett DL. The clinical approach to small fibre neuropathy and painful channelopathy. Pract Neurol 2014;14:368–79.10.1136/practneurol-2013-00075824778270Search in Google Scholar

[41] Han SE, Boland RA, Krishnan AV, Vucic S, Lin CS, Kiernan MC. Ischaemic sensitivity of axons in carpal tunnel syndrome. J Peripher Nerv Syst 2009;14:190–200.1990948310.1111/j.1529-8027.2009.00231.xSearch in Google Scholar

[42] Bostock H, Cikurel K, Burke D. Threshold tracking techniques in the study of human peripheral nerve. Muscle Nerve 1998;21:137–58.10.1002/(SICI)1097-4598(199802)21:2<137::AID-MUS1>3.0.CO;2-CSearch in Google Scholar

[43] Kwag KH, Gonzalez-Lorenzo M, Banzi R, Bonovas S, Moja L. Providing doctors with high-quality information: an updated evaluation of web-based point-of-care information summaries. J Med Internet Res 2016;18:e15.2678697610.2196/jmir.5234Search in Google Scholar

[44] Fowler JR. Nerve Conduction studies for carpal tunnel syndrome: gold standard or unnecessary evil? Orthopedics 2017;40:141–2.10.3928/01477447-20170419-0128514489Search in Google Scholar

[45] Sonoo M, Menkes DL, Bland JDP, Burke D. Nerve conduction studies and EMG in carpal tunnel syndrome: Do they add value? Clin Neurophysiol Pract 2018;3:78–88.3021501310.1016/j.cnp.2018.02.005Search in Google Scholar

[46] Mondelli M, Passero S, Giannini F. Provocative tests in different stages of carpal tunnel syndrome. Clin Neurol Neurosurg 2001;103:178–83.10.1016/S0303-8467(01)00140-811532560Search in Google Scholar

[47] Prime MS, Palmer J, Khan WS, Goddard NJ. Is there Light at the End of the Tunnel? Controversies in the diagnosis and management of Carpal Tunnel syndrome. Hand (New York, NY) 2010;5:354–60.10.1007/s11552-010-9263-ySearch in Google Scholar

[48] de Krom MC, Knipschild PG, Kester AD, Spaans F. Efficacy of provocative tests for diagnosis of carpal tunnel syndrome. Lancet 1990;335:393–5.196812510.1016/0140-6736(90)90218-TSearch in Google Scholar

[49] Leite JC, Jerosch-Herold C, Song F. A systematic review of the psychometric properties of the Boston carpal tunnel questionnaire. BMC Musculoskelet Disord 2006;7:78.10.1186/1471-2474-7-7817054773Search in Google Scholar

[50] Kasundra GM, Sood I, Bhargava AN, Bhushan B, Rana K, Jangid H, Shubhkaran K, Pujar GS. Carpal tunnel syndrome: analyzing efficacy and utility of clinical tests and various diagnostic modalities. J Neurosci Rural Pract 2015;6:504–10.10.4103/0976-3147.16986726752893Search in Google Scholar

[51] Mondelli M, Filippou G, Gallo A, Frediani B. Diagnostic utility of ultrasonography versus nerve conduction studies in mild carpal tunnel syndrome. Arthritis Rheum 2008;59:357–66.1831176210.1002/art.23317Search in Google Scholar

[52] Katzberg HD, Bril V, Breiner A. Ultrasound in neuromuscular disorders. J Clin Neurophysiol 2016;33:80–5.2703524710.1097/WNP.0000000000000234Search in Google Scholar

[53] Cartwright MS, Hobson-Webb LD, Boon AJ, Alter KE, Hunt CH, Flores VH, Werner RA, Shook SJ, Thomas TD, Primack SJ, Walker FO. Evidence-based guideline: neuromuscular ultrasound for the diagnosis of carpal tunnel syndrome. Muscle Nerve 2012;46:287–93.10.1002/mus.23389Search in Google Scholar

[54] Fowler JR, Gaughan JP, Ilyas AM. The sensitivity and specificity of ultrasound for the diagnosis of carpal tunnel syndrome: a meta-analysis. Clin Orthop Relat Res 2011;469:1089–94.10.1007/s11999-010-1637-5Search in Google Scholar

[55] Aseem F, Williams JW, Walker FO, Cartwright MS. Neuromuscular ultrasound in patients with carpal tunnel syndrome and normal nerve conduction studies. Muscle Nerve 2017;55:913–5.10.1002/mus.2546227859374Search in Google Scholar

[56] Choi SJ, Ahn JH, Ryu DS, Kang CH, Jung SM, Park MS, Shin DR. Ultrasonography for nerve compression syndromes of the upper extremity. Ultrasonography (Seoul, Korea) 2015;34:275–91.25682987Search in Google Scholar

[57] Mhoon JT, Juel VC, Hobson-Webb LD. Median nerve ultrasound as a screening tool in carpal tunnel syndrome: correlation of cross-sectional area measures with electrodiagnostic abnormality. Muscle Nerve 2012;46:871–8.23041984Search in Google Scholar

Published Online: 2018-06-12
Published in Print: 2018-07-26

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