Electrosonodiagnosis in Carpal Tunnel Syndrome: A Proposed Diagnostic Algorithm Based on an Analytic Literature Review

PM & R : the Journal of Injury, Function, and Rehabilitation
Gary GoldbergJason D Tucker

Abstract

Suspected carpal tunnel syndrome (CTS) remains the most common clinical scenario prompting referral for electrodiagnostic (EDx) studies to identify objective correlates of reported subjective symptoms and clinical examination findings. Despite much debate and a rapidly expanding literature, identification of an optimal algorithm for diagnosing focal median mononeuropathy at the wrist (FMMW) associated with CTS signs and symptoms remains elusive. The introduction and rapid dissemination of peripheral nerve ultrasound imaging (PN-USI) of the median nerve has raised new questions regarding the relative value of structural information from PN-USI versus physiological information from EDx in the diagnosis of FMMW, as well as the significance of various clinical signs and symptoms suggestive of CTS. The means by which PN-USI and EDx may be optimally deployed and integrated in the process of diagnosing FMMW remains to be clearly delineated. To complete an analytical literature review to guide the formulation of a clinical diagnostic algorithm (CDA) integrating the use of PN-USI and EDx for the optimal detection of FMMW in the context of making a clinical diagnosis of CTS. A structured literature review was performed on the MEDLINE med...Continue Reading

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Citations

Oct 23, 2016·PM & R : the Journal of Injury, Function, and Rehabilitation·Benjamin M SucherMichael T Andary
Oct 23, 2016·PM & R : the Journal of Injury, Function, and Rehabilitation·Gary GoldbergJason D Tucker
Oct 10, 2018·PM & R : the Journal of Injury, Function, and Rehabilitation·John W Norbury, Eric J Morrison
Feb 1, 2019·American Journal of Physical Medicine & Rehabilitation·Peyman RoomizadehArash Babaei-Ghazani
Sep 28, 2017·Archives of Physical Medicine and Rehabilitation·Ana Torres-CostosoIván Cavero-Redondo

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