Comparison of digital sensory studies in patients with carpal tunnel syndrome
Abstract Electrodiagnosis of carpal tunnel syndrome (CTS) often depends on the demonstration of focal slowing of median sensory fibers across the wrist. We compared the relative sensitivity of the four median innervated digits in demonstrating focal slowing in patients with CTS. Antidromic sensory s...
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crwiley:10.1002/mus.880181109 2024-09-15T18:03:46+00:00 Comparison of digital sensory studies in patients with carpal tunnel syndrome Kothari, M. J. Rutkove, S. B. Caress, J. B. Hinchey, J. Logigian, E. L. Preston, D. C. 1995 http://dx.doi.org/10.1002/mus.880181109 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Fmus.880181109 https://onlinelibrary.wiley.com/doi/pdf/10.1002/mus.880181109 en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Muscle & Nerve volume 18, issue 11, page 1272-1276 ISSN 0148-639X 1097-4598 journal-article 1995 crwiley https://doi.org/10.1002/mus.880181109 2024-08-30T04:08:48Z Abstract Electrodiagnosis of carpal tunnel syndrome (CTS) often depends on the demonstration of focal slowing of median sensory fibers across the wrist. We compared the relative sensitivity of the four median innervated digits in demonstrating focal slowing in patients with CTS. Antidromic sensory studies of digits 1, 2, 3, and 4 were performed on 30 control subjects to develop normative data. Fifty‐nine consecutive patients with CTS were then studied to determine the sensitivity of focal slowing of each median innervated digit. In the 26 CTS patients with a normal distal motor latency (DML) to abductor pollicis brevis, digit 1 was abnormal in 81%, digit 2 in 42%, digit 3 in 54%, and digit 4 in 38%. In the 33 CTS patients with a prolonged DML, digit 1 was abnormal in 94%, digit 2 in 88%, digit 3 in 91%, and digit 4 in 88%. We conclude that in milder cases of CTS with a normal DML, digit 1 is the most sensitive in identifying focal slowing of sensory conduction across the wrist. However, in patients with a prolonged DML, the sensitivity of sensory conduction is not significantly different among the four digits. © John Wiley & Sons, Inc. Article in Journal/Newspaper DML Wiley Online Library Muscle & Nerve 18 11 1272 1276 |
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Abstract Electrodiagnosis of carpal tunnel syndrome (CTS) often depends on the demonstration of focal slowing of median sensory fibers across the wrist. We compared the relative sensitivity of the four median innervated digits in demonstrating focal slowing in patients with CTS. Antidromic sensory studies of digits 1, 2, 3, and 4 were performed on 30 control subjects to develop normative data. Fifty‐nine consecutive patients with CTS were then studied to determine the sensitivity of focal slowing of each median innervated digit. In the 26 CTS patients with a normal distal motor latency (DML) to abductor pollicis brevis, digit 1 was abnormal in 81%, digit 2 in 42%, digit 3 in 54%, and digit 4 in 38%. In the 33 CTS patients with a prolonged DML, digit 1 was abnormal in 94%, digit 2 in 88%, digit 3 in 91%, and digit 4 in 88%. We conclude that in milder cases of CTS with a normal DML, digit 1 is the most sensitive in identifying focal slowing of sensory conduction across the wrist. However, in patients with a prolonged DML, the sensitivity of sensory conduction is not significantly different among the four digits. © John Wiley & Sons, Inc. |
format |
Article in Journal/Newspaper |
author |
Kothari, M. J. Rutkove, S. B. Caress, J. B. Hinchey, J. Logigian, E. L. Preston, D. C. |
spellingShingle |
Kothari, M. J. Rutkove, S. B. Caress, J. B. Hinchey, J. Logigian, E. L. Preston, D. C. Comparison of digital sensory studies in patients with carpal tunnel syndrome |
author_facet |
Kothari, M. J. Rutkove, S. B. Caress, J. B. Hinchey, J. Logigian, E. L. Preston, D. C. |
author_sort |
Kothari, M. J. |
title |
Comparison of digital sensory studies in patients with carpal tunnel syndrome |
title_short |
Comparison of digital sensory studies in patients with carpal tunnel syndrome |
title_full |
Comparison of digital sensory studies in patients with carpal tunnel syndrome |
title_fullStr |
Comparison of digital sensory studies in patients with carpal tunnel syndrome |
title_full_unstemmed |
Comparison of digital sensory studies in patients with carpal tunnel syndrome |
title_sort |
comparison of digital sensory studies in patients with carpal tunnel syndrome |
publisher |
Wiley |
publishDate |
1995 |
url |
http://dx.doi.org/10.1002/mus.880181109 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Fmus.880181109 https://onlinelibrary.wiley.com/doi/pdf/10.1002/mus.880181109 |
genre |
DML |
genre_facet |
DML |
op_source |
Muscle & Nerve volume 18, issue 11, page 1272-1276 ISSN 0148-639X 1097-4598 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1002/mus.880181109 |
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Muscle & Nerve |
container_volume |
18 |
container_issue |
11 |
container_start_page |
1272 |
op_container_end_page |
1276 |
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1810441247099191296 |