Comparative study between physical examination, electroneuromyography and ultrasonography in diagnosing carpal tunnel syndrome ,
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , |
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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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 |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000500446 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000500446 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.rboe.2014.09.002 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
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) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
_version_ |
1752122359191437312 |