Value of the carpal compression test in the diagnosis of carpal tunnel syndrome
Value of the carpal compression test in the diagnosis of carpal tunnel syndrome
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DOI：
10.1016/s0266-7681(97)80012-5
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发表时间：
1997-02-01
期刊：
影响因子：
--
通讯作者：
Lovic, A
中科院分区：
文献类型：
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作者：
delPino, JG;DelgadoMartinez, AD;Lovic, A
为了确定腕管压迫试验（carpal compression test， CCT）在腕管综合征（carpal tunnel syndrome， CTS）诊断中的有效性，我们对连续200只确诊为腕管综合征的手进行了前瞻性研究。对照组由100名没有CTS症状的健康志愿者组成。将患者和对照组的CCT结果与Phalen's和Tinel's试验结果进行比较。CCT的敏感性为87%，特异性为95%。它是一种简单、快速、可靠的诱发试验，可作为CTS的常规诊断方法。对于活动范围有限或疼痛无法用Phalen腕屈曲试验评估的腕关节，该试验也是一种适当的操作。
In order to determine the efficacy of the carpal compression test (CCT) in the diagnosis of the carpal tunnel syndrome (CTS), we conducted a prospective study on 200 consecutive hands diagnosed as having CTS. A control group of 100 healthy volunteers with no symptoms of CTS were also assessed. The results of the CCT in the patients and controls were compared with those obtained with Phalen's and Tinel's tests. CCT achieved a sensitivity of 87%, and a specificity of 95%. It is a simple, fast and very reliable provocative test, and should be routinely used in the diagnosis of CTS. This test is also an appropriate manoeuvre in wrists with limited range of motion or pain that cannot be assessed with Phalen's wrist flexion test.