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[국내논문] The Diagnostic Assessment of Hand Elevation Test in Carpal Tunnel Syndrome 원문보기

Journal of Korean Neurosurgical Society = 대한신경외과학회지, v.52 no.5, 2012년, pp.472 - 475  

Ma, HyunJin (Department of Neurosurgery, Dongsan Medical Center, College of Medicine, Keimyung University) ,  Kim, Insoo (Department of Neurosurgery, Dongsan Medical Center, College of Medicine, Keimyung University)

Abstract ▼ AI-Helper 아이콘AI-Helper

Objective : The aim of this study is to establish the value of hand elevation test as a reproducible provocative test for the diagnosis of carpal tunnel syndrome (CTS). Methods : We had a prospective study of 45 hands of 38 patients diagnosed with CTS between April 2005 and February 2009. The diagno...

주제어

#Carpal tunnel syndrome   #Hand elevation test   #Tinel's test   #Phalen's test   #Carpal compression test  

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제안 방법

  • The test was considered positive if symptoms were reproduced in thirty seconds. After four provocation tests, NCS, EMG and ultrasonography were used as the absolute diagnosis. Chi-square test statistics was used to compare the sensitivity and specificity between hand elevation test and the three other test.
  • Carpal tunnel compression test was conducted by the examiner compressing between thenar and hypothenar eminence for 30 seconds with the patient’s arm supinated.
  • Atrophy in the thenar muscle also can be seen in some cases17,18). The diagnosis of carpal tunnel syndrome is based on clinical criteria such as history taking and physical examination and then followed by electrodiagnostic evaluation such as nerve conduction study (NCS) and electromyography (EMG), and sonography of carpal tunnel to confirm diagnosis. Previous physical examinations such as Tinel’s test, Phalen’s test, and carpal compression test need skillful examiners to reproduce CTS symptoms, the result of those tests can be variable according to skills of examiners not only sonography and electrodiagnostic evaluation are expensive initial tools of diagnosis for CTS, but also those diagnostic tools need more skillful examiners and the latter is invasive test to patients.
  • The order was hand elevation test followed by Tinel’s test, Phalen’s test, and carpal compression test. The hand elevation test was performed by just elevating both hands above the head and maintaining in position until patient felt paraesthesia, numbness and dull pain in the median nerve territory. Test result was positive if symptoms occurred in 2 minutes.
  • Therefore the test we need is, easy to perform, reproducible, not invasive, and having high sensitivity and specificity. This study was carried out to establish the utility of hand elevation test as most accurate, easy to perform, reproducible, cost effective and not invasive test to diagnose the CTS .

대상 데이터

  • We prospectively studied 45 hands of 38 patients diagnosed with CTS between April 2005 and February 2009. Control group was set 45 hands of 45 asymptomatic persons. The American Academy of Neurology clinical diagnostic criteria was the basis of diagnosing the CTS13,21).
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참고문헌 (24)

  1. 1 Ahn DS Hand elevation : a new test for carpal tunnel syndrome Ann Plast Surg 2001 46 120 124 11216604 

    상세보기

  2. 2 Atroshi I Gummesson C Johnsson R Ornstein E Diagnostic properties of nerve conduction tests in population-based carpal tunnel syndrome BMC Musculoskelet Disord 2003 4 9 12734018 

    상세보기

  3. 3 Concannon MJ Gainor B Petroski GF Puckett CL The predictive value of electrodiagnostic studies in carpal tunnel syndrome Plast Reconstr Surg 1997 100 1452 1458 9385956 

    상세보기

  4. 4 Dawson DM Entrapment neuropathies of the upper extremities N Engl J Med 1993 329 2013 2018 8247077 

    상세보기

  5. 5 de Araujo MP Electrodiagnosis in compression neuropathies of the upper extremities Orthop Clin North Am 1996 27 237 244 8614576 

    상세보기

  6. 6 de Krom MC Knipschild PG Kester AD Thijs CT Boekkooi PF Spaans F Carpal tunnel syndrome : prevalence in the general population J Clin Epidemiol 1992 45 373 376 1569433 

    상세보기

  7. 7 Durkan JA A new diagnostic test for carpal tunnel syndrome J Bone Joint Surg Am 1991 73 535 538 1796937 

  8. 8 Gelberman RH Hergenroeder PT Hargens AR Lundborg GN Akeson WH The carpal tunnel syndrome. A study of carpal canal pressures J Bone Joint Surg Am 1981 63 380 383 7204435 

  9. 9 Giannini F Cioni R Mondelli M Padua R Gregori B D'Amico P A new clinical scale of carpal tunnel syndrome : validation of the measurement and clinical-neurophysiological assessment Clin Neurophysiol 2002 113 71 77 11801427 

    상세보기

  10. 10 González del Pino J Delgado-Martínez AD González González I Lovic A Value of the carpal compression test in the diagnosis of carpal tunnel syndrome J Hand Surg Br 1997 22 38 41 9061521 

  11. 11 Grundberg AB Carpal tunnel decompression in spite of normal electromyography J Hand Surg Am 1983 8 348 349 6875246 

  12. 12 Hong YP Ryu KS Cho BM Oh SM Park SH Evaluation of thermography in the diagnosis of carpal tunnel syndrome : comparative study between patient and control groups J Korean Neurosurg Soc 2006 39 423 426 

    원문보기 상세보기

  13. 13 Jablecki CK Andary MT Floeter MK Miller RG Quartly CA Vennix MJ 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 1592 12058083 

  14. 14 Lundborg G Gelberman RH Minteer-Convery M Lee YF Hargens AR Median nerve compression in the carpal tunnel--functional response to experimentally induced controlled pressure J Hand Surg Am 1982 7 252 259 7086092 

  15. 15 Omer GE Jr Median nerve compression at the wrist Hand Clin 1992 8 317 324 1613039 

  16. 16 Paley D McMurtry RY Median nerve compression test in carpal tunnel syndrome diagnosis reproduces signs and symptoms in affected wrist Orthop Rev 1985 14 41 45 

  17. 17 Park JS Yoo CJ Chun YI Kim WK Lee SG Park CW Endoscopic release of carpal tunnel syndrome; temporal correlation between symptomatic and electrophysiological improvements in postoperative carpal tunnel syndrome J Korean Neurosurg Soc 2005 37 8 15 

  18. 18 Park SK Lee JH Lee HG Ryu KY Kang DG Kim SC Predictive value of sensory nerve conduction in carpal tunnel syndrome J Korean Neurosurg Soc 2006 40 401 405 

    원문보기 상세보기

  19. 19 Park YS Lee JC Lee SM Carpal tunnel syndrome : diagnostic application of MRI and sonography J Korean Neurosurg Soc 1999 28 1738 1745 

  20. 20 Parry SW Norton M Pairman J Baptist M Wilton K Reeve P Impedance cardiography : a role in vasovagal syncope diagnosis? Age Ageing 2009 38 718 723 19749201 

    상세보기

  21. 21 Practice parameter for carpal tunnel syndrome. Report of the Quality Standard Subcommitee of the American Academy of Neurology Neurology 1993 43 2406 2409 8232968 

  22. 22 Spinner RJ Bachman JW Amadio PC The many faces of carpal tunnel syndrome Mayo Clin Proc 1989 64 829 836 2671521 

    상세보기

  23. 23 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 1497301 

    상세보기

  24. 24 Yii NW Elliot D A study of the dynamic relationship of the lumbrical muscles and the carpal tunnel J Hand Surg Br 1994 19 439 443 7964094 

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