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Sensitivity of median sensory nerve conduction tests in digital branches for the diagnosis of carpal tunnel syndrome
(Lippincott Williams & Wilkins, 2004) Aydin, G; Keles, I; Demir, SO; Baysal, AI
Objective: To compare the sensitivity of median sensory nerve conduction tests performed by stimulating digital branches in patients with carpal tunnel syndrome. Design: A prospective study in 506 hands of patients with carpal tunnel syndrome diagnosed electrophysiologically. Results: The sensitivity of median sensory nerve conduction tests across the first three digit-to-wrist segments and palm-to-wrist segment was determined. The most common abnormal electrophysiologic finding was the slowing of sensory nerve conduction velocity over the palm-to-wrist segment, which was detected in 98.5% of the hands. Slowing of sensory nerve conduction velocity over the digit 1-, 2-, and 3-to-wrist segments of the median nerve was found in 95.4%, 88%, and 82% of the hands, respectively. Conclusion: The sensory nerve conduction velocity test of the digit 1-to-wrist segment has the most sensitivity among the three digital branches of the median sensory nerve, and it may be used more widely in the electrodiagnosis of carpal tunnel syndrome.