TY - JOUR TT - Comparision of Clinical and Electrophysiological Staging in Carpal Tunnel Syndrome AU - Tunç, Tuğba AU - Kutlu, Gülnihal AU - Coşkun, Özlem AU - Okuyucu, Emine Esra AU - Çavdar, Leyla AU - İnan, Levent Ertuğrul PY - 2006 DA - August JF - Meandros Medical And Dental Journal JO - Meandros Med. Den. j. PB - Aydin Adnan Menderes University WT - DergiPark SN - 2149-9063 SP - 23 EP - 26 VL - 7 IS - 2 KW - Karpal tünel sendromu KW - medyan nöropati KW - klinik evreleme KW - elektrofizyolojik evreleme N2 - Objectives: The aim of the study was to investigate the relationship between the clinical and electrophysiological stages in patients diagnosed with carpal tunnel syndrome. Material and methods: One hundered twentyeight hands (90 patients) with carpal tunnel syndrome were investigated. Patients were staged clinically and electrophysiologically. The relationship between these stages was investigated. Diagnosis of carpal tunnel syndrome was made according to the presence of paresthesia, pain in the innervation area of the median nerve, weakness and atrophy in the median nerve innervated muscles, positive Phalen and Tinnel tests. Results: A significant correlation was found between clinical and electrophysiological staging of patients. The electrophysiological findings were more severe as the clinical stage progressed. Conclusions: We suggest that although there may sometimes be a discordance between clinical and electrophysiological stages in clinical practice, the severity of the compression of the median nerve can usually be estimated by clinical examination. CR - 1- Sung-Bom P, Woohyun S, Seung-Don Y. Slowed conduction velocity of the median sensory nerve across the carpal tunnel in normal adults. Am J Phys Med Rehabil 2005; 84:598-603. CR - 2- Bland JDP. Carpal tunnel syndrome. Curr Opin in Int Med 2005; 4:578-582. CR - 3- Freimer M, Brushart TM, Cornblath JT. Entrapment neuropathies. In: Mendell RJ, Kissel TJ, Cornblath DR (eds): Diagnosis and Management of Peripheral Nerve Disorders, Oxford University Press, 2001, pp: 597- 601. CR - 4- Oh SJ. Nerve conduction in focal neuropathies. In: Retford DC (ed). Clinical Electromyography: Nerve Conduction Studies, 2 ed. Baltimore: Williams and Wilkins, 1993, pp: 496-574. CR - 5- Loong SC. The Carpal Tunnel Syndrome: A clinical and electrophysiological study of 250 patients. Proc AustAssoc Neurol 1977;14:51-65. CR - 6- Katz JN, Larson MG, Sabra A. The Carpal Tunnel Syndrome: Diagnostic Utility of the History and Physical Findings.Ann Intern Med 1990;112:321-327. CR - 7- Witt JC, Hentz JG, Stevens JC. Carpal tunnel syndrome with normal nerve conduction studies. Muscle Nerve 2004; 29:515-522. CR - 8- Padua L, Padua R, Lo Monaco M,Aprile I, Tonali P, For the Italian CTS Study Group. Multiperspective assessment of carpal tunnel syndrome. A multicenter study. Neurology 1999; 53:1654-1659. CR - 9- Padua L, Monaco M, Gregori B, Valente EM, Padua R, Tonali P. Neurophysiological classification and sensitivity in 500 carpal túnel síndrome hands. Acta Neurol Scand 1997; 96:211-217. CR - 10- Padua L, Padua R, Tonali P. Postoperative outcome related to preoperative symptomatology. Clin Orthop 1998;346:284-285. CR - 11- Freimer M, Brushat TM, Cornblath DR, Kissel JT. Entrapment neuropathies. In: Mendell JR, Kissel JT, Cornblath DR (eds). Diagnosis and Management of Peripheral Nerve Disorders, Oxford University Press, 2001, pp 592-638. CR - 12- Dawson DM. Entrapment Neuropathies of the upper extremities. N Engl J Med 1993; 329:2013-2018. UR - https://dergipark.org.tr/en/pub/meandrosmdj/issue//541410 L1 - https://dergipark.org.tr/en/download/article-file/673473 ER -