Self-Administered Hand Symptom Diagram for Carpal Tunnel Syndrome Diagnosis

2004 ◽  
Vol 29 (6) ◽  
pp. 571-574 ◽  
Author(s):  
V. SHARMA ◽  
E. P. WILDER-SMITH
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Case Series ◽  
Subjective Assessment ◽  
The Self ◽  
Syndrome Diagnosis ◽  
Tunnel Syndrome ◽  
Prospective Case Series ◽  
Hand Symptoms ◽  
Assessment Scales

In a prospective case series in Singapore we studied whether a hand symptom diagram can be used to predict carpal tunnel syndrome as defined by standardized clinical and neurophysiological protocol. Forty patients (mean age, 48 years, range 18–76) with carpal tunnel syndrome found it difficult to complete the hand diagram, and only four patients were able to mark it helpfully. There was no relation between drawings, clinical and neurophysiological parameters. A self-administered hand symptoms diagram is not useful for supporting a diagnosis of carpal tunnel syndrome amongst Singaporeans. Cultural factors may significantly influence subjective assessment scales such as the self-administered hand symptom diagram, which has been found effective in North American populations.

scholarly journals Prevalence and risk factors of self-reported wrist and hand symptoms and clinically confirmed carpal tunnel syndrome among office workers in China: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Beibei Feng ◽  
Kedi Chen ◽  
Xiaoxia Zhu ◽  
Wing-Yuk Ip ◽  
Lars L. Andersen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Computer Use ◽  
Office Workers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Work Related ◽  
Tunnel Syndrome ◽  
Hand Symptoms

Abstract Background Carpal tunnel syndrome (CTS) is a common cause of pain, numbness and tingling in the wrist and hand region and is associated with repetitive wrist and hand use in office workers. However, scarce knowledge exists about the epidemiology of clinically confirmed CTS among Chinese office workers. This study aimed to investigate the prevalence of wrist/hand symptoms and CTS in office workers in China and to identify associated risk factors. Methods A cross-sectional survey was carried out in a metropolitan city in China involving 969 respondents (aged 17–49 years) from 30 workplaces. A questionnaire was distributed to each participant to collect their demographic, work-related physical and psychosocial factors, and wrist and hand symptoms. The wrist and hand pain/numbness symptoms were marked on a body chart and the nature and intensity of symptoms, nocturnal symptoms, as well as aggravating activities were also recorded. Clinically confirmed CTS cases were screened based on the history, Phalen’s test, Tinel Sign and skin sensation testing among symptomatic respondents. Logistic regression was employed to estimate the odds ratio (OR) and 95% confidence interval (95% CI) for the occurrence of self-reported wrist and hand symptoms and clinically confirmed CTS. Results The clinically confirmed CTS prevalence was 9.6%. The prevalence of wrist and hand symptoms were 22 and 15%, respectively. Frequently working in pain was associated with higher odds of CTS. Multivariate modelling adjusted for age and gender showed that prolonged computer use time and working without breaks were associated with presence of wrist/hand symptoms (adjusted ORs: 1.11 (95% CI 1.02–1.22) and 1.88 (95% CI 1.12–3.14)). Educational level was inversely associated with CTS and smoking was associated with wrist/hand complaints (adjusted OR: 2.20 (95% CI 1.19–4.07)). Conclusions The prevalence of work-related clinically confirmed CTS symptoms among young office workers in China is high. Frequently working in pain is closely associated with clinically confirmed CTS. Intense computer use and no breaks at work are associated with wrist and hand symptoms.

scholarly journals Erratum to: Distal pain and carpal tunnel syndrome diagnosis among cashiers: a longitudinal study

2017 ◽  
Vol 90 (8) ◽  
pp. 747-750
Author(s):  
Roberto Meroni ◽  
Paola Alberti ◽  
Paola Boria ◽  
Simone Giordano ◽  
Guido Cavaletti
Keyword(s):  
Longitudinal Study ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Syndrome Diagnosis ◽  
Tunnel Syndrome

scholarly journals PROFILE OF PATIENTS WITH CARPAL TUNNEL SYNDROME TREATED AT A REFERRAL SERVICE

2020 ◽  
Vol 28 (3) ◽  
pp. 117-120
Author(s):  
HENVER RIBEIRO DE PAIVA FILHO ◽  
VALDÊNIA DAS GRAÇAS NASCIMENTO PAIVA ◽  
ELIAS FELIX DE OLIVEIRA ◽  
MURILO ANTÔNIO ROCHA
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Case Series ◽  
Hand Surgery ◽  
Elementary Level ◽  
Level Of Evidence ◽  
Women Smokers ◽  
Referral Service ◽  
Tunnel Syndrome ◽  
Epidemiological Characteristics

ABSTRACT Objective: To describe the clinical and epidemiological characteristics of people diagnosed with carpal tunnel syndrome (CTS) treated at a hand surgery outpatient clinic of a regional referral service. Methods: Interview and specific medical examination of 150 people diagnosed with CTS underwent, and statistical analysis of the results obtained. Results: Women smokers, in the fifth decade of life, married, overweight and educated until the elementary level prevailed in our study. Arterial hypertension and diabetes were the most reported comorbidities, and Durkan’s test was the most prevalent. Conclusion: CTS is prevalent in women in their fifth decade of life, with bilateral involvement and high school. The hypertension and diabetes are the most common diseases in people with CTS. Level of evidence IV, Case series.

The Sensitivity and Specificity of Tests for Carpal Tunnel Syndrome Vary with the Comparison Subjects

1998 ◽  
Vol 23 (2) ◽  
pp. 151-155 ◽  
Author(s):  
F. GERR ◽  
R. LETZ
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Diagnostic Tests ◽  
Normal Subjects ◽  
Clinical Test ◽  
Test Results ◽  
Electrophysiological Tests ◽  
Tunnel Syndrome ◽  
Electrophysiological Test ◽  
Hand Symptoms

The performance of a variety of common office-based clinical tests for detection of carpal tunnel syndrome (CTS) was assessed in 119 subjects with and without electrophysiological evidence of CTS. Symptoms compatible with CTS and electrophysiological tests positive for median mononeuropathy at the wrist were observed in 57 hands, symptoms compatible with CTS and normal electrophysiological test results were observed in 58 hands, and no symptoms compatible with CTS and normal electrophysiological test results were observed in 123 hands. For all the diagnostic tests studied, the proportion of subjects who had a false positive clinical test result was much higher in the electrophysiologically normal subjects who had CTS compatible hand symptoms than in the electrophysiologically normal subjects who were asymptomatic. These results suggest that many studies that have evaluated diagnostic tests for CTS have produced falsely optimistic estimates of the test’s performance because of their use of asymptomatic comparison subjects.

scholarly journals Recent Advances in Ultrasound Diagnosis of Carpal Tunnel Syndrome

Diagnostics ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. 596 ◽  
Author(s):  
Yuichi Yoshii ◽  
Chunfeng Zhao ◽  
Peter C. Amadio
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
New Technologies ◽  
Cross Sectional ◽  
Ultrasonic Examination ◽  
Non Invasive ◽  
Syndrome Diagnosis ◽  
Tunnel Syndrome ◽  
Property Changes ◽  
High Resolution Ultrasonography

With the widespread use of high-resolution ultrasonography, ultrasonic examination has been shown to be useful as a diagnostic method for carpal tunnel syndrome. The main advantages of ultrasonography are that it is simple, quick, non-invasive, and economical. Another advantage is that tissue dynamics can be observed with real-time imaging. In recent reports, it has been shown that ultrasonic examination can provide similar diagnostic accuracy as nerve conduction study in the diagnosis of carpal tunnel syndrome. It has been expected that ultrasound demand in daily medical care will continue to increase. Ultrasonography in carpal tunnel syndrome shows an enlarged median nerve in proximal carpal tunnel, thickening of the flexor retinaculum, and edema around flexor tendons in cross-sectional images. In addition, with the introduction of new technologies such as ultrasonic elastography and speckle tracking, it has become possible to quantify dynamics and material property changes of nerves, tendons, and their surrounding structures. In this review, we describe recent advancements of carpal tunnel syndrome diagnosis based on ultrasound dynamic images, and discuss its pathology.

scholarly journals Value of ultrasonography in the diagnosis of carpal tunnel syndrome—a new ultrasonographic index in carpal tunnel syndrome diagnosis

Medicine ◽  
2020 ◽  
Vol 99 (29) ◽  
pp. e20903
Author(s):  
Mihaela Perţea ◽  
Sergiu Ursu ◽  
Bogdan Veliceasa ◽  
Oxana-Mădălina Grosu ◽  
Natalia Velenciuc ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Syndrome Diagnosis ◽  
Tunnel Syndrome
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