Comparison of clinical findings and electromyography results in patients with preliminary diagnosis of carpal tunnel syndrome

Toluk, Özlem

doi:10.1016/j.jelekin.2022.102688

Cited by 1 publication

(1 citation statement)

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“…In a clinical and electrophysiological study of CTS, objective and subjective sensory complaints were consistent with EDX results [ 16 ]. Yilmaz and Toluk [ 17 ] found a strong correlation between symptom severity and functional status in an EMG study conducted after a preliminary diagnosis of CTS. A recently published study found a positive correlation between CTS severity determined by EDX in patients evaluated using the CTS-6 Evaluation Tool and the Semmes-Weinstein monofilament test.…”

Section: Discussionmentioning

confidence: 99%

How much does clinical prediagnosis correlate with electrophysiological findings?: a retrospective study

İnceoğlu,

Ayyıldız,

Yılmaz

et al. 2024

JYMS

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Background: Electrodiagnostic testing (EDX) is important in the diagnosis and follow-up of neuropathic and myopathic diseases. This study aimed to demonstrate the compatibility between clinical prediagnosis and electrophysiological findings. Methods: EDX results from 2004 to 2020 at the physical medicine and rehabilitation (PM&R) clinic were screened. Tests with missing data, reevaluation studies, and cases of peripheral facial paralysis were excluded. The clinical prediagnosis and EDX results were recorded, and their compatibility was evaluated. Results: A total of 2,153 tests were included in this study. The mean age was 49.0±13.9 years and 1,533 of them (71.2%) were female. The most frequently referred clinic was the PM&R clinic (90.0%). Numbness (73.6%) was the most common complaint, followed by pain (15.3%) and weakness (13.9%). The most common prediagnosis was entrapment neuropathy (55.3%), radiculopathy (16.1%), and polyneuropathy (15.7%). Carpal tunnel syndrome was the most frequently identified type of entrapment neuropathy (78.3%). Six hundred and seventy EDX results (31.1%) were within normal limits. While the EDX results were consistent with the prediagnosis in 1,328 patients (61.7%), a pathology different from the prediagnosis was detected in 155 patients (7.2%). In the discrepancy group, the most common pathologies were entrapment neuropathy (51.7%), polyneuropathy (17.3%), and radiculopathy (15.1%). The most common neuropathy type was carpal tunnel syndrome (79.3%).Conclusion: After adequate anamnesis and physical and neurological examinations, requesting further appropriate tests will increase the prediagnosis accuracy and prevent unnecessary expenditure of time and labor.

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Section: Discussionmentioning

confidence: 99%