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Overview
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{{Carpal tunnel syndrome}}
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Physical Examinations
== Overview ==


References
== 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
*
 
== References ==

Latest revision as of 12:58, 29 May 2018

Carpal tunnel syndrome Microchapters

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Overview

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Differentiating Carpal tunnel syndrome from other Diseases

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Diagnostic Study of Choice

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Directions to Hospitals Treating Psoriasis

Risk calculators and risk factors for Carpal tunnel syndrome physical examination

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

References