Clinical vignette: A test for carpal tunnel effusion

A new diagnostic test for carpal tunnel syndrome.

A new test, called the carpal compression test, consists of application of direct pressure on the carpal tunnel and the underlying median nerve. The results of the Tinel percussion test, the Phalen wrist-flexion test, and the new test were evaluated in thirty-one patients (forty-six hands) in whom the presence of carpal tunnel syndrome had been proved electrodiagnostically, as well as in a cont...

Carpal compression, Phalen’s and Tinel’s test: Which one is more suitable for carpal tunnel syndrome?

1 Department of Neurology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran 2 Department of Neurology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran 3 Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran 4 Department of Neurology, School of Medicine, Rafsanjan University of Medical Sciences, Rafsanj...

carpal compression, phalen’s and ‎tinel’s test: which one is more ‎suitable for carpal tunnel ‎syndrome?‎

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Sensitivity and specificity of clinical testing for carpal tunnel syndrome.

OBJECTIVE The present study evaluated the sensitivity, specificity and predictive values of six clinical tests in the diagnosis of carpal tunnel syndrome (CTS). METHODS There were 29 carpal tunnel syndrome (CTS) subjects (mean age 48 years) and 30 control subjects (mean age 45 years). The six clinical tests included Tinel's sign, wrist flexion with fingers extended, wrist flexion with fingers...

Comparison of Two Manual Therapy Techniques in Patients with Carpal Tunnel Syndrome: A Randomized Clinical Trial