Show simple item record

Electrodiagnostic evaluation of carpal tunnel syndrome

dc.contributor.authorWerner, Robert A.en_US
dc.contributor.authorAndary, Michaelen_US
dc.date.accessioned2011-11-10T15:36:07Z
dc.date.available2012-12-03T21:17:30Zen_US
dc.date.issued2011-10en_US
dc.identifier.citationWerner, Robert A.; Andary, Michael (2011). "Electrodiagnostic evaluation of carpal tunnel syndrome ." Muscle & Nerve 44(4): 597-607. <http://hdl.handle.net/2027.42/87013>en_US
dc.identifier.issn0148-639Xen_US
dc.identifier.issn1097-4598en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/87013
dc.description.abstractCarpal tunnel syndrome (CTS) is the most common nerve entrapment. Electrodiagnostic (EDX) studies are a valid and reliable means of confirming the diagnosis. This monograph addresses the various EDX techniques used to evaluate the median nerve at the wrist. It also demonstrates the limitations of EDX studies with a focus on the sensitivity and specificity of EDX testing for CTS. The need to use reference values for populations such as diabetics and active workers, where normative values differ from conventional cutoffs used to confirm suspected CTS, is presented. The value of needle electromyography (EMG) is examined. Muscle Nerve, 2011en_US
dc.publisherWiley Subscription Services, Inc., A Wiley Companyen_US
dc.subject.otherCarpal Tunnel Syndromeen_US
dc.subject.otherElectromyographyen_US
dc.subject.otherMedian Nerveen_US
dc.subject.otherNerve Entrapmenten_US
dc.subject.otherNerve Injuryen_US
dc.titleElectrodiagnostic evaluation of carpal tunnel syndromeen_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelNeurosciencesen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumUniversity of Michigan Health System, Ann Arbor Veterans Health System, Ann Arbor, Michigan, USAen_US
dc.contributor.affiliationotherDepartment of Physical Medicine and Rehabilitation, College of Osteopathic Medicine, Michigan State University, East Lansing, Michigan, USAen_US
dc.contributor.affiliationotherAANEM, 2621 Superior Drive NW, Rochester, MN 55901en_US
dc.identifier.pmid21922474en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/87013/1/22208_ftp.pdf
dc.identifier.doi10.1002/mus.22208en_US
dc.identifier.sourceMuscle & Nerveen_US
dc.identifier.citedreferenceSchappert SM, Rechtsteiner EA. Ambulatory medical care utilization estimates for 2006. Natl Health Stat Report 2008; 6: 1 – 29.en_US
dc.identifier.citedreferenceCullen KA, Hall MJ, Golosinskiy A. Ambulatory surgery in the United States, 2006. Natl Health Stat Report 2009; 28: 1 – 25.en_US
dc.identifier.citedreferenceJablecki CK, Andary MT, So YT, Wilkins DE, Williams FH. Literature review of the usefulness of nerve conduction studies and electromyography for the evaluation of patients with carpal tunnel syndrome. Muscle Nerve 1993; 16: 1392 – 1414.en_US
dc.identifier.citedreferenceSunderland S. Nerves and nerve injuries. New York: Churchill Livingstone; 1978. p 15.en_US
dc.identifier.citedreferenceGilliatt RW, Sears TA. Sensory nerve action potentials in patients with peripheral nerve lesions. J Neurol Neurosurg Psychiatry 1958; 21: 109 – 118.en_US
dc.identifier.citedreferenceSalerno DF, Werner RA, Albers JW, Becker MP, Armstrong TJ, Franzblau A. Reliability of nerve conduction studies among active workers. Muscle Nerve 1999; 22: 1372 – 1379.en_US
dc.identifier.citedreferenceDorfman LJ, Robinson LR. AAEM minimonograph #47: Normative data in electrodiagnostic medicine. Muscle Nerve 1997; 20: 4 – 14.en_US
dc.identifier.citedreferenceRobinson LR, Micklesen PJ, Wang L. Strategies for analyzing nerve conduction data: superiority of a summary index over single tests. Muscle Nerve 1998; 21: 1166 – 1171.en_US
dc.identifier.citedreferenceRobinson LR, Micklesen PJ, Wang L. Optimizing the number of tests for carpal tunnel syndrome. Muscle Nerve 2000; 23: 1880 – 1882.en_US
dc.identifier.citedreferenceAmerican Association of Electrodiagnostic Medicine, American Academy of Neurology, American Academy of Physical Medicine and Rehabilitation. Practice parameter for electrodiagnostic studies in carpal tunnel syndrome: summary statement. Muscle Nerve 2002; 25: 918 – 922.en_US
dc.identifier.citedreferenceKeith MW, Masear V, Chung KC, Amadio PC, Andary M, Barth RW, et al. American Academy of Orthopaedic Surgeons. American Academy of Orthopaedic Surgeons clinical practice guideline on the treatment of carpal tunnel syndrome. J Bone Joint Surg Am 2010; 92: 218 – 219.en_US
dc.identifier.citedreferenceGoddard DH, Barnes CG, Berry H, Evans S. Measurement of nerve conduction—a comparison of orthodromic and antidromic methods. Clin Rheumatol 1983; 2: 169 – 174.en_US
dc.identifier.citedreferenceMelvin JL, Harris DH, Johnson EW. Sensory and motor conduction velocities in the ulnar and median nerves. Arch Phys Med Rehabil 1966; 47: 511 – 519.en_US
dc.identifier.citedreferenceSalerno DF, Franzblau A, Werner RA, Bromberg MB, Armstrong TJ, Albers JW. Median and ulnar nerve conduction studies among workers: normative values. Muscle Nerve 1998; 21: 999 – 1005.en_US
dc.identifier.citedreferenceJablecki C, Nazemi R. Unsuspected digital nerve lesions responsible for abnormal median sensory responses. Arch Phys Med Rehabil 1982; 63: 135 – 138.en_US
dc.identifier.citedreferenceBuchthal F, Rosenfalck A, Trojaborg W. Electrophysiological findings in entrapment of the median nerve at wrist and elbow. J Neurol Neurosurg Psychiatry 1974; 37: 340 – 360.en_US
dc.identifier.citedreferenceStevens JC. AAEE minimonograph #26: The electrodiagnosis of carpal tunnel syndrome. Muscle Nerve 1987; 10: 99 – 113.en_US
dc.identifier.citedreferenceStevens JC. AAEM minimonograph #26: The electrodiagnosis of carpal tunnel syndrome. Muscle Nerve 1997; 20: 1477 – 1486.en_US
dc.identifier.citedreferenceFelsenthal G, Spindler H. Palmar conduction time of median and ulnar nerves of normal subjects and patients with carpal tunnel syndrome. Am J Phys Med 1979; 58: 131 – 138.en_US
dc.identifier.citedreferenceKimura J. Electrodiagnosis in diseases of nerve and muscle: principles and practices. Philadelphia: F.A. Davis; 1983. p 106 – 111.en_US
dc.identifier.citedreferenceGordon C, Bowyer BL, Johnson EW. Electrodiagnostic characteristics of acute carpal tunnel syndrome. Arch Phys Med Rehabil 1987; 68: 545 – 548.en_US
dc.identifier.citedreferenceRoss MA, Kimura J. AAEM case report #2: The carpal tunnel syndrome. Muscle Nerve 1995; 18: 567 – 573.en_US
dc.identifier.citedreferenceDaube JR, Stevens JC. The electrodiagnosis of carpal tunnel syndrome (a reply). Muscle Nerve 1993; 16: 798.en_US
dc.identifier.citedreferenceCarroll GJ. Comparison of median and radial nerve sensory latencies in the electrophysiological diagnosis of carpal tunnel syndrome. Electroencephalogr Clin Neurophysiol 1987; 68: 101 – 106.en_US
dc.identifier.citedreferencePease WS, Cannell CD, Johnson EW. Median to radial latency difference test in mild carpal tunnel syndrome. Muscle Nerve 1989; 12: 905 – 909.en_US
dc.identifier.citedreferenceNathan PA, Keniston RC, Meadows KD, Lockwood RS. Predictive value of nerve conduction measurements at the carpal tunnel. Muscle Nerve 1993; 16: 1377 – 1382.en_US
dc.identifier.citedreferenceNathan PA, Meadows KD, Doyle LS. Sensory segmental latency values of the median nerve for a population of normal individuals. Arch Phys Med Rehabil 1988; 69: 499 – 501.en_US
dc.identifier.citedreferenceMalladi N, Micklesen PJ, Hou J, Robinson LR. Correlation between the combined sensory index and clinical outcome after carpal tunnel decompression: a retrospective review. Muscle Nerve 2010; 41: 453 – 457.en_US
dc.identifier.citedreferenceRivner MH. Statistical errors and their effect on electrodiagnostic medicine. Muscle Nerve 1994; 17: 811 – 814.en_US
dc.identifier.citedreferenceSander HW, Quinto C, Saadeh PB, Chokroverty S. Sensitive median–ulnar motor comparative techniques in carpal tunnel syndrome. Muscle Nerve 1999; 22: 88 – 98.en_US
dc.identifier.citedreferenceFelsenthal G. Median and ulnar distal motor and sensory latencies in the same normal subject. Arch Phys Med Rehabil 1977; 58: 297 – 302.en_US
dc.identifier.citedreferenceWilliams FH, Andary MT. Carpal tunnel syndrome: techniques for diagnosis. Rochester, MN: American Association of Neuromuscular and Electrodiagnostic Medicine; 2001. p 1 – 8.en_US
dc.identifier.citedreferencePreston DC, Logigian EL. Lumbrical and interossei recording in carpal tunnel syndrome. Muscle Nerve 1992; 15: 1253 – 1257.en_US
dc.identifier.citedreferencePreston DC, Ross MH, Kothari MJ, Plotkin GM, Venkatesh S, Logigian EL. The median–ulnar latency difference studies are comparable in mild carpal tunnel syndrome. Muscle Nerve 1994; 17: 1469 – 1471.en_US
dc.identifier.citedreferencePreston DC, Logigian EL. Lumbrical and interossei recording in carpal tunnel syndrome (a reply). Muscle Nerve 1994; 17: 360.en_US
dc.identifier.citedreferenceTrojaborg W, Grewal RP, Weimer LH, Sheriff P. Value of latency measurements to the small palm muscles compared to other conduction parameters in the carpal tunnel syndrome. Muscle Nerve 1996; 19: 243 – 245.en_US
dc.identifier.citedreferenceLogigian EL, Busis NA, Berger AR, Brunyninckx F, Khalil N, Shahani BT, et al. Lumbrical sparing in carpal tunnel syndrome: anatomic, physiologic, and diagnostic implications. Neurology 1987; 37: 1499 – 1505.en_US
dc.identifier.citedreferenceLesser EA, Venkatesh S, Preston DC, Logigian EL. Stimulation distal to the lesion in patients with carpal tunnel syndrome. Muscle Nerve 1995; 18: 503 – 507.en_US
dc.identifier.citedreferenceDumitru D. Electrodiagnostic medicine. Philadelphia: Hanley & Belfus; 1995. p 143, 872, 874 – 875.en_US
dc.identifier.citedreferenceMarin EL, Vernick S, Friedmann LW. Carpal tunnel syndrome: median nerve stress test. Arch Phys Med Rehabil 1983; 64: 206 – 208.en_US
dc.identifier.citedreferenceSchwartz MS, Gordon JA, Swash M. Slowed nerve conduction with wrist flexion in carpal tunnel syndrome. Ann Neurol 1980; 8: 69 – 71.en_US
dc.identifier.citedreferenceDunnan JB, Waylonis GW. Wrist flexion as an adjunct to the diagnosis of carpal tunnel syndrome. Arch Phys Med Rehabil 1991; 72: 211 – 213.en_US
dc.identifier.citedreferenceKeith MW, Masear V, Chung K, Maupin K, Andary M, Amadio PC, et al. Diagnosis of carpal tunnel syndrome. J Am Acad Orthop Surg 2009; 17: 389 – 396.en_US
dc.identifier.citedreferenceRempel D, Evanoff B, Amadio PC, de Krom M, Franklin G, Franzblau A, et al. Consensus criteria for classification of carpal tunnel syndrome in epidemiologic studies. Am J Publ Health 1998; 88: 1447 – 1451.en_US
dc.identifier.citedreferenceGelberman RH, Hergenroeder PT, Hargens AR, Lundborg GN, Akeson WH. The carpal tunnel syndrome. A study of carpal canal pressures. J Bone Joint Surg Am 1981; 63: 380 – 383.en_US
dc.identifier.citedreferenceHoman MM, Franzblau A, Werner RA, Albers JW, Armstrong TJ, Bromberg MB. Agreement between symptom surveys, physical examination procedures and electrodiagnostic findings for carpal tunnel syndrome. Scand J Work Environ Health 1999; 25: 115 – 124.en_US
dc.identifier.citedreferenceAtroshi I, Gummesson C, Johnsson R, Ornstein E, Ranstam J, Rosen I. Prevalence of carpal tunnel syndrome in a general population. JAMA 1999; 282: 153 – 158.en_US
dc.identifier.citedreferenceBingham RC, Rosecrance JC, Cook TM. Prevalence of abnormal nerve conduction in applicants for industrial jobs. Am J Ind Med 1996; 30: 355 – 361.en_US
dc.identifier.citedreferenceWerner RA, Franzblau A, Albers JW, Buchele H, Armstrong TJ. Use of screening nerve conduction studies for predicting future carpal tunnel syndrome. Occup Environ Med 1997; 54: 96 – 100.en_US
dc.identifier.citedreferenceWerner RA, Gell N, Franzblau A, Armstrong TJ. Prolonged median sensory latency as a predictor of future carpal tunnel syndrome. Muscle Nerve 2001; 24: 1462 – 1467.en_US
dc.identifier.citedreferenceNathan PA, Keniston RC, Myers LD, Meadows KD, Lockwood RS. Natural history of median nerve sensory conduction in industry: relationship to symptoms and carpal tunnel syndrome in 558 hands over 11 years. Muscle Nerve 1998; 21: 711 – 721.en_US
dc.identifier.citedreferenceAlbers JW, Brown MB, Sima AA, Greene DA. Frequency of median mononeuropathy in patients with mild diabetic neuropathy in the early diabetes intervention trial (EDIT). Tolrestat Study Group For Edit (Early Diabetes Intervention Trial). Muscle Nerve 1996; 19: 140 – 146.en_US
dc.identifier.citedreferenceEversmann WW Jr, Ritsick JA. Intraoperative changes in motor nerve conduction latency in carpal tunnel syndrome. J Hand Surg [Am] 1978; 3: 77 – 81.en_US
dc.identifier.citedreferenceGarland H, Langworth EP, Tavener D, Clark JM. Surgical treatment for the carpal tunnel syndrome. Lancet 1964; 1: 1129 – 1130.en_US
dc.identifier.citedreferenceHongell A, Mattsson HS. Neurographic studies before, after, and during operation for median nerve compression in the carpal tunnel. Scand J Plast Reconstr Surg 1971; 5: 103 – 109.en_US
dc.identifier.citedreferenceEl‐Hajj T, Tohme R, Sawaya R. Changes in electrophysiological parameters after surgery for the carpal tunnel syndrome. J Clin Neurophysiol 2010; 27: 224 – 226.en_US
dc.identifier.citedreferencePrick JJ, Blaauw G, Vredeveld JW, Oosterloo SJ. Results of carpal tunnel release. Eur J Neurol 2003; 10: 733 – 736.en_US
dc.identifier.citedreferenceYates SK, Hurst LN, Brown WF. Physiological observations in the median nerve during carpal tunnel surgery. Ann Neurol 1981; 10: 227 – 229.en_US
dc.identifier.citedreferenceBalbierz JM, Cottrell AC, Cottrell WD. Is needle examination always necessary in evaluation of carpal tunnel syndrome? Arch Phys Med Rehabil 1998; 79: 514 – 516.en_US
dc.identifier.citedreferenceWerner RA, Albers JW. Relation between needle electromyography and nerve conduction studies in patients with carpal tunnel syndrome. Arch Phys Med Rehabil 1995; 76: 246 – 249.en_US
dc.identifier.citedreferenceChan L, Turner JA, Comstock BA, Levenson LM, Hollingworth W, Heagerty PJ, et al. The relationship between electrodiagnostic findings and patient symptoms and function in carpal tunnel syndrome. Arch Phys Med Rehabil 2007; 88: 19 – 24.en_US
dc.identifier.citedreferenceKatz JN, Larson MG, Sabra A, Krarup C, Stirrat CR, Sethi R, et al. The carpal tunnel syndrome: diagnostic utility of the history and physical examination. Ann Intern Med 1990; 112: 321 – 27.en_US
dc.identifier.citedreferenceBland JD. Do nerve conduction studies predict the outcome of carpal tunnel decompression? Muscle Nerve 2001; 24: 935 – 940.en_US
dc.identifier.citedreferenceRobinson L, Kliot M. Stop using arbitrary grading schemes in carpal tunnel syndrome. Muscle Nerve 2008; 37: 804.en_US
dc.identifier.citedreferenceCannon LJ, Bernacki EJ, Walter SD. Personal and occupational factors associated with carpal tunnel syndrome. J Occup Med 1982; 23: 255 – 258.en_US
dc.identifier.citedreferenceNathan PA, Keniston RC, Myers LD, Meadows KD. Obesity as a risk factor for slowing of sensory conduction of the median nerve in industry: a cross‐sectional and longitudinal study involving 429 workers. J Occup Med 1992; 34: 379 – 383.en_US
dc.identifier.citedreferenceWerner RA, Franzblau A, Albers JW, Armstrong TJ. Influence of body mass index and work activity on the prevalence of median mononeuropathy at the wrist. Occup Environ Med 1997; 54: 268 – 271.en_US
dc.identifier.citedreferenceKimura J. The carpal tunnel syndrome: localization of conduction abnormalities within the distal segment of the median nerve. Brain 1979; 102: 619 – 635.en_US
dc.identifier.citedreferenceAndary MT, Fankhauser MJ, Spiegel N, Zaneteas P, Ritson JL, Hulce VD, et al. Comparison of four techniques in the diagnosis of mild carpal tunnel syndrome [abstract]. Muscle Nerve 1992; 15: 1174.en_US
dc.identifier.citedreferenceJohnson EW, Kukla RD, Wongsam PE, Piedmont A. Sensory latencies to the ring finger: normal values and relation to carpal tunnel syndrome. Arch Phys Med Rehabil 1981; 62: 206 – 208.en_US
dc.identifier.citedreferenceJackson DA, Clifford JC. Electrodiagnosis of mild carpal tunnel syndrome. Arch Phys Med Rehabil 1989; 70: 199 – 204.en_US
dc.identifier.citedreferenceUncini A, Lange DJ, Soloman M, Soliven B, Meer J, Lovelace RE. Ring finger testing in carpal tunnel syndrome: a comparative study of diagnostic utility. Muscle Nerve 1989; 12: 735 – 741.en_US
dc.identifier.citedreferenceRedmond MD, Rivner MH. False positive electrodiagnostic tests in carpal tunnel syndrome. Muscle Nerve 1988; 11: 511 – 518.en_US
dc.identifier.citedreferenceJohnson EW, Sipski M, Lammertse T. Median and radial sensory latencies to digit I: normal values and usefulness in carpal tunnel syndrome. Arch Phys Med Rehabil 1987; 68: 140 – 141.en_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


Files in this item

Show simple item record

Remediation of Harmful Language

The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.

Accessibility

If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.