Ahmadreza Afshar, MD; Zahra Yekta, MD; Fardin Mirzatolooei, MD
Abstract
Background: Carpal tunnel syndrome develops by compression of the median nerve within the carpal tunnel. There is no "gold standard" test for a definite diagnosis of this syndrome. Carpal tunnel syndrome is a constellation of signs and symptoms. The aim of this study is to investigate the correlation ...
Read More
Background: Carpal tunnel syndrome develops by compression of the median nerve within the carpal tunnel. There is no "gold standard" test for a definite diagnosis of this syndrome. Carpal tunnel syndrome is a constellation of signs and symptoms. The aim of this study is to investigate the correlation of the subjective, objective and electrophysiological findings in patients who had carpal tunnel syndrome and underwent carpal tunnel surgery.Methods: A prospective study performed on 103 patients who had carpal tunnel surgery. Subjective evaluation accomplished by two standard questionnaires. Objective findings were comprised of Tinel’s sign, Phalen test, pinch and power grip, and electrophysiologic evaluation. Statistical tests were used to evaluate the data.Results: There was a statistically significant linear correlation between the Tinel's sign and Phalen test. There was a positive correlation between the "means" of the pinch and power grip. There was a positive correlation between average symptom severity scale and functional status scale. In patient with severe electrophysiological findings there was a statistically significant correlation between subjective, objective and electrophysiological findings.Conclusions: It seems that in advanced stages, significant correlation between subjective, objective and electrophysiological findings is present.
