Carpal tunnel syndrome physical examination: Difference between revisions

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innervation density test
innervation density test
* static and moving two-point discrimination
* static and moving two-point discrimination
* measures multiple overlapping of different sensory units and complex cortical integration
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== References ==
== References ==

Revision as of 21:20, 18 May 2018

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