Physical examination has a low yield in screening for carpal tunnel syndrome
dc.contributor.author | Dale, Ann Marie | en_US |
dc.contributor.author | Descatha, Alexis | en_US |
dc.contributor.author | Coomes, Justin | en_US |
dc.contributor.author | Franzblau, Alfred | en_US |
dc.contributor.author | Evanoff, Bradley A. | en_US |
dc.date.accessioned | 2011-01-04T16:24:45Z | |
dc.date.available | 2012-02-21T18:47:02Z | en_US |
dc.date.issued | 2011-01 | en_US |
dc.identifier.citation | Dale, Ann Marie; Descatha, Alexis; Coomes, Justin; Franzblau, Alfred; Evanoff, Bradley (2011). "Physical examination has a low yield in screening for carpal tunnel syndrome." American Journal of Industrial Medicine 54(1): 1-9. <http://hdl.handle.net/2027.42/78500> | en_US |
dc.identifier.issn | 0271-3586 | en_US |
dc.identifier.issn | 1097-0274 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/78500 | |
dc.description.abstract | Background Physical examination is often used to screen workers for carpal tunnel syndrome (CTS). In a population of newly hired workers, we evaluated the yield of such screening. Methods Our study population included 1,108 newly hired workers in diverse industries. Baseline data included a symptom questionnaire, physical exam, and bilateral nerve conduction testing of the median and ulnar nerves; individual results were not shared with the employer. We tested three outcomes: symptoms of CTS, abnormal median nerve conduction, and a case definition of CTS that required both symptoms and median neuropathy. Results Of the exam measures used, only Semmes–Weinstein sensory testing had a sensitivity value above 31%. Positive predictive values were low, and likelihood ratios were all under 5.0 for positive testing and over 0.2 for negative testing. Conclusion Physical examination maneuvers have a low yield for the diagnosis of CTS in workplace surveillance programs and in post-offer, pre-placement screening programs. Am. J. Ind. Med. 54:1–9, 2011. © 2010 Wiley-Liss, Inc. | en_US |
dc.format.extent | 203619 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Wiley Subscription Services, Inc., A Wiley Company | en_US |
dc.subject.other | Life and Medical Sciences | en_US |
dc.subject.other | Occupational Health and Environmental Toxicology | en_US |
dc.title | Physical examination has a low yield in screening for carpal tunnel syndrome | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Public Health | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | The Department of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationother | Division of General Medical Sciences, Washington University School of Medicine, St. Louis, Missouri ; Division of General Medical Sciences, Campus Box 8005, Washington University School of Medicine, 660 S. Euclid Ave, St. Louis, MO 63110. | en_US |
dc.contributor.affiliationother | Division of General Medical Sciences, Washington University School of Medicine, St. Louis, Missouri | en_US |
dc.contributor.affiliationother | Occupational Health Department, The University of Versailles-Saint Quentin (UVSQ), PoincarÉ Hospital AP-HP, INSERM, U687, Garches, France | en_US |
dc.contributor.affiliationother | Division of General Medical Sciences, Washington University School of Medicine, St. Louis, Missouri | en_US |
dc.identifier.pmid | 21154516 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/78500/1/20915_ftp.pdf | |
dc.identifier.doi | 10.1002/ajim.20915 | en_US |
dc.identifier.source | American Journal of Industrial Medicine | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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