Comparative study between physical examination, electroneuromyography and ultrasonography in diagnosing carpal tunnel syndrome ,

Detalhes bibliográficos
Autor(a) principal: Jesus Filho,Arnaldo Gonçalves de
Data de Publicação: 2014
Outros Autores: Nascimento,Bruno Fajardo do, Amorim,Marcelo de Carvalho, Naus,Ronald Alan Sauaia, Loures,Elmano de Araújo, Moratelli,Lucas
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira de Ortopedia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000500446
Resumo: Objective:To evaluate the sensitivity of electromyography and ultrasonography in diagnosing carpal tunnel syndrome (CTS), in comparison with physical examination, which is considered to be the gold standard.Methods:In this cross-sectional study, the medical files of 56 patients with 70 hands affected by CTS who were attended between March 2010 and June 2012 were reviewed. The study included patients with a clinical diagnosis of CTS. The sensitivity of the complementary examinations was analyzed and compared with physical examination.Results:Nocturnal symptoms were found in 96.4%, thenar atrophy in 62.5% and abnormal sense of touch in 50%. The sensitivities found were: ultrasonography, 67.1% (95% CI: 55.7%–78.6%); an association of physical examination tests, 95.7% (95% CI: 90.0%–100%); and electromyography, 98.6% (95% CI: 95.7%–100%). The presence of atrophy, abnormalities of the sense of touch and longer-duration symptoms increased the sensitivity of ultrasonography and physical examination.Conclusion:The sensitivity of ultrasonography for CTS was lower than that of electromyography and physical examination.
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spelling Comparative study between physical examination, electroneuromyography and ultrasonography in diagnosing carpal tunnel syndrome ,Carpal tunnel syndromeUltrasonographyElectromyographyObjective:To evaluate the sensitivity of electromyography and ultrasonography in diagnosing carpal tunnel syndrome (CTS), in comparison with physical examination, which is considered to be the gold standard.Methods:In this cross-sectional study, the medical files of 56 patients with 70 hands affected by CTS who were attended between March 2010 and June 2012 were reviewed. The study included patients with a clinical diagnosis of CTS. The sensitivity of the complementary examinations was analyzed and compared with physical examination.Results:Nocturnal symptoms were found in 96.4%, thenar atrophy in 62.5% and abnormal sense of touch in 50%. The sensitivities found were: ultrasonography, 67.1% (95% CI: 55.7%–78.6%); an association of physical examination tests, 95.7% (95% CI: 90.0%–100%); and electromyography, 98.6% (95% CI: 95.7%–100%). The presence of atrophy, abnormalities of the sense of touch and longer-duration symptoms increased the sensitivity of ultrasonography and physical examination.Conclusion:The sensitivity of ultrasonography for CTS was lower than that of electromyography and physical examination.Sociedade Brasileira de Ortopedia e Traumatologia2014-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000500446Revista Brasileira de Ortopedia v.49 n.5 2014reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rboe.2014.09.002info:eu-repo/semantics/openAccessJesus Filho,Arnaldo Gonçalves deNascimento,Bruno Fajardo doAmorim,Marcelo de CarvalhoNaus,Ronald Alan SauaiaLoures,Elmano de AraújoMoratelli,Lucaseng2015-09-23T00:00:00Zoai:scielo:S0102-36162014000500446Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2015-09-23T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false
dc.title.none.fl_str_mv Comparative study between physical examination, electroneuromyography and ultrasonography in diagnosing carpal tunnel syndrome ,
title Comparative study between physical examination, electroneuromyography and ultrasonography in diagnosing carpal tunnel syndrome ,
spellingShingle Comparative study between physical examination, electroneuromyography and ultrasonography in diagnosing carpal tunnel syndrome ,
Jesus Filho,Arnaldo Gonçalves de
Carpal tunnel syndrome
Ultrasonography
Electromyography
title_short Comparative study between physical examination, electroneuromyography and ultrasonography in diagnosing carpal tunnel syndrome ,
title_full Comparative study between physical examination, electroneuromyography and ultrasonography in diagnosing carpal tunnel syndrome ,
title_fullStr Comparative study between physical examination, electroneuromyography and ultrasonography in diagnosing carpal tunnel syndrome ,
title_full_unstemmed Comparative study between physical examination, electroneuromyography and ultrasonography in diagnosing carpal tunnel syndrome ,
title_sort Comparative study between physical examination, electroneuromyography and ultrasonography in diagnosing carpal tunnel syndrome ,
author Jesus Filho,Arnaldo Gonçalves de
author_facet Jesus Filho,Arnaldo Gonçalves de
Nascimento,Bruno Fajardo do
Amorim,Marcelo de Carvalho
Naus,Ronald Alan Sauaia
Loures,Elmano de Araújo
Moratelli,Lucas
author_role author
author2 Nascimento,Bruno Fajardo do
Amorim,Marcelo de Carvalho
Naus,Ronald Alan Sauaia
Loures,Elmano de Araújo
Moratelli,Lucas
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Jesus Filho,Arnaldo Gonçalves de
Nascimento,Bruno Fajardo do
Amorim,Marcelo de Carvalho
Naus,Ronald Alan Sauaia
Loures,Elmano de Araújo
Moratelli,Lucas
dc.subject.por.fl_str_mv Carpal tunnel syndrome
Ultrasonography
Electromyography
topic Carpal tunnel syndrome
Ultrasonography
Electromyography
description Objective:To evaluate the sensitivity of electromyography and ultrasonography in diagnosing carpal tunnel syndrome (CTS), in comparison with physical examination, which is considered to be the gold standard.Methods:In this cross-sectional study, the medical files of 56 patients with 70 hands affected by CTS who were attended between March 2010 and June 2012 were reviewed. The study included patients with a clinical diagnosis of CTS. The sensitivity of the complementary examinations was analyzed and compared with physical examination.Results:Nocturnal symptoms were found in 96.4%, thenar atrophy in 62.5% and abnormal sense of touch in 50%. The sensitivities found were: ultrasonography, 67.1% (95% CI: 55.7%–78.6%); an association of physical examination tests, 95.7% (95% CI: 90.0%–100%); and electromyography, 98.6% (95% CI: 95.7%–100%). The presence of atrophy, abnormalities of the sense of touch and longer-duration symptoms increased the sensitivity of ultrasonography and physical examination.Conclusion:The sensitivity of ultrasonography for CTS was lower than that of electromyography and physical examination.
publishDate 2014
dc.date.none.fl_str_mv 2014-10-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000500446
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1016/j.rboe.2014.09.002
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Ortopedia e Traumatologia
publisher.none.fl_str_mv Sociedade Brasileira de Ortopedia e Traumatologia
dc.source.none.fl_str_mv Revista Brasileira de Ortopedia v.49 n.5 2014
reponame:Revista Brasileira de Ortopedia (Online)
instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
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