Diagnostic Accuracy of Ultrasound Findings in Patients with Carpal Tunnel Syndrome

2015 ◽  
Vol 15 (2) ◽  
pp. 94-99
Author(s):  
Hamid Dehdashti ◽  
Davood Kashipazha ◽  
Fakher Rahim ◽  
Masoud Cina ◽  
Mina Eslami-Moa ◽  
...  
2019 ◽  
Vol 130 (3) ◽  
pp. 321-330 ◽  
Author(s):  
Christos Moschovos ◽  
Georgios Tsivgoulis ◽  
Andreas Kyrozis ◽  
Apostolia Ghika ◽  
Persefoni Karachalia ◽  
...  

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Francesco Sartorio ◽  
Francesca Dal Negro ◽  
Elisabetta Bravini ◽  
Giorgio Ferriero ◽  
Stefano Corna ◽  
...  

Abstract Background Dexterity impairments caused by carpal tunnel syndrome (CTS) make working and daily activities challenging. We aimed to investigate: i) the relationship between dexterity and nerve conduction studies (NCS) in workers with classic symptoms presentation; ii) the ability of the Functional Dexterity Test (FDT) to discriminate different levels of CTS severity as classified by NCS; iii) the diagnostic accuracy of a clinical battery composed of the FDT, Phalen’s test and Tinel’s sign. Methods In a convenience sample of individuals diagnosed with CTS, we correlated FDT net scores with the NCS-based classification by means of Spearman’s (rho) test. Discriminative ability of the FDT was assessed by ANOVA, and a ROC curve determined cutoff thresholds. Sensitivity, specificity, and likelihood ratios (LRs) were used to investigate the diagnostic accuracy of the clinical battery. Results Data from 180 hands were collected. The FDT was significantly correlated (rho = 0.25, p <  0.001) with NCS. The FDT was able to discriminate subjects with severe/extreme NCS findings, and two thresholds (0.29–0.36) were identified. Adding the FDT to the provocative tests improved the overall diagnostic accuracy (specificity: 0.97, CI95% 0.83–0.99; LR+: 14.49, CI95% 2.09–100.53). Conclusions Sensorimotor impairments related to CTS can affect hand dexterity. The FDT discriminated patients with severe NCS involvement. Positive results on the clinical battery (Phalen, Tinel, and FDT) could help to confirm the CTS diagnosis, showing a very high specificity and LR+. On the contrary, the low sensitivity is not able to rule out CTS in individuals with negative results.


Radiology ◽  
2014 ◽  
Vol 270 (2) ◽  
pp. 481-486 ◽  
Author(s):  
Hideaki Miyamoto ◽  
Ethan J. Halpern ◽  
Martin Kastlunger ◽  
Markus Gabl ◽  
Rohit Arora ◽  
...  

PLoS ONE ◽  
2016 ◽  
Vol 11 (10) ◽  
pp. e0164715 ◽  
Author(s):  
Mauro Mondelli ◽  
Andrea Farioli ◽  
Stefano Mattioli ◽  
Alessandro Aretini ◽  
Federica Ginanneschi ◽  
...  

2018 ◽  
Vol Volume 13 ◽  
pp. 1953-1962 ◽  
Author(s):  
Reza Salman Roghani ◽  
Seyed Ebrahim Hashemi ◽  
Mohammad Taghi Holisaz ◽  
Faeze Gohari ◽  
Ahmad Delbari ◽  
...  

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