Carpal tunnel syndrome physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical Examinations
Thenar atrophy
Carpal tunnel compression test (Durkan's test)
- is the most sensitive test to diagnose carpal tunnels syndrome
- performed by pressing thumbs over the carpal tunnel and holding pressure for 30 seconds and pain or paresthesia in the median nerve distribution considered as positive result.
Phalen test
- wrist volar flexion for 60 sec produces symptoms
Tinel's test
- provocative tests performed by tapping the median nerve over the volar carpal tunnel
Semmes-Weinstein testing
- most sensitive sensory test for detecting early carpal tunnel syndrome
- measures a single nerve fiber innervating a receptor or group of receptors
innervation density test
- static and moving two-point discrimination