Article Text

Download PDFPDF
Review: hand symptom diagrams, weak thumb abduction, and hypalgesia are helpful in diagnosing carpal tunnel syndrome

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

 QUESTION: What is the accuracy of the history and physical examination in diagnosing carpal tunnel syndrome (CTS)?

Data sources

Studies were identified by searching Medline (1966 to February 2000) with the terms carpal tunnel syndrome, diagnosis, Tinel, Hoffman, and Phalen. References of relevant articles were reviewed. The search was limited to English language studies.

Study selection

Studies were selected if they addressed the diagnosis of CTS in adults; patients presented with symptoms suggestive of CTS; a clear description of the physical examination was provided; the results of the physical examination and electrodiagnostic studies were apparently assessed independently; and numbers needed to calculate sensitivity, specificity, and likelihood ratios (LRs) were available.

Data extraction

2 independent reviewers extracted data on history, physical findings, and CTS …

View Full Text


  • Source of funding: no external funding.

  • For correspondence: Dr C A D'Arcy, Division of Rheumatology, University of Washington Health Sciences Center, 1959 North East Pacific Street, Box 356428, Seattle, WA 98195, USA. Fax + 1 206 685 9397.