VERIFICATION OF THE PRESSURE PROVOCATIVE TEST IN CARPAL-TUNNEL SYNDROME

被引：53
|
作者：
WILLIAMS, TM
MACKINNON, SE
NOVAK, CB
MCCABE, S
KELLY, L
机构：
[1] LOUISVILLE HAND SURG,LOUISVILLE,KY
[2] UNIV TORONTO,TORONTO M5S 1A1,ONTARIO,CANADA
[3] WASHINGTON UNIV,DIV PLAST SURG,ST LOUIS,MO 63130
来源：
ANNALS OF PLASTIC SURGERY | 1992年 / 29卷 / 01期
关键词：
D O I：
10.1097/00000637-199207000-00003
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Three provocative tests (pressure, Phalen's test, and Tinel's sign) were studied in 30 patients with carpal tunnel syndrome and 30 control subjects. The pressure provocative test had a sensitivity of 100%. In contrast, Phalen's test was 88% sensitive and Tinel's sign only 67% sensitive. The pressure provocative test is a sensitive indicator of median nerve compression at the wrist with a faster reaction time than Phalen's test (mean time of 9 seconds vs 30 seconds). It is an appropriate provocative test in patients with stiff or painful wrists when wrist flexion is restricted.
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页码：8 / 11
页数：4
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