Scroll Up
Scroll Down
Play Play Play Play
Unregistered User
Click here if this is not your Personal Edition
 
Contact Us | Free E-Mail Updates | Journals | Register a colleague
 
 
Orthopaedics Other
 
   
 
SEARCH   
Doctor's Guide Free CME
Medline
Congress Resource Centre
 

 EXPLORE :
   Most Read News
 All News  All News
 All Webcasts / CME  All Webcasts / CME
 All Cases  All Cases
 Congress Resource Centre  Congress Resource Centre
 All Medical Resources  All Medical Resources
 Medical  My Personal Edition



Warning | Privacy

 

 
 Recent news - Orthopaedics Other
    Use of rhBMP in Cervical Spine Fusion Linked to Life-Threatening Adverse Events - (DGNews)
    Controlling Bone Disease Improves Survival of Patients on Haemodialysis - (DGNews)
    Bone Infections and Complications More Severe in Children With MRSA - (DGNews)
    Long-Term Use of Alendronate Puts Some Patients at Risk for Fracture - (DGNews)
    Electrocardiographic abnormalities and sudden death in myotonic dystrophy type 1 - (N Engl J Med)

    News archive

     Recent webcasts/CME - Orthopaedics Other
    Clinical Outcomes in CKD Stage 5: The Impact of Mineral and Bone Disorders
    Antinuclear Antibody Testing of Systemic Autoimmune Disease

    Webcasts/CME archive

     Recent cases - Orthopaedics Other
      Factitious Lymphoedema as a Psychiatric Condition Mimicking Reflex Sympathetic Dystrophy: A Case Report
      Kaposi's Sarcoma of the Hand Mimicking Squamous Cell Carcinoma in a Woman with No Evidence of HIV Infection: A Case Report
      Isolated Loss of Inferior Pubic Ramus: A Case Report
      Gluteal Pyomyositis as a Rare Cause of Sciatica in a Temperate Region: A Case Report
      Compression of the Median Nerve in the Proximal Forearm by a Giant Lipoma: A Case Report

      Cases archive
        




      my personal edition > orthopaedics other > news
      divider

        E-Mail this DGReview to a colleague

      DGReview


      Waking Up With Hand Pain Sensitive Indication For Carpal Tunnel Syndrome

      A DGReview of :"Comparison of Awakening From Sleep with Phalen Test And Tinel's Sign in Patients with Carpal Tunnel Syndrome"
      Journal of Arthroplasty and Arthroscopic Surgery

      06/12/2002
      By Mark Pownall


      Waking up from sleep at night because of pain in the hand is a more sensitive test for carpal tunnel syndrome than two more common and widely studied tests.

      Research on 188 patients (346 affected hands) with carpal tunnel syndrome, confirmed with electrophysiologic diagnosis, found that a past medical history of awakening with severe pain at night was a more sensitive test than Phalen test or Tinel's sign.

      A history of waking up was present in 163 (86.7 percent) of the patients, whereas the Phalen test was found in only 63 percent of hands, and Tinel's sign was found in only 59 percent.

      The researchers found that waking up at night with pain from CTS, the commonest entrapment neuropathy, was correlated positively with a positive Phalen test, as well as the presence of the syndrome in both hands. But, there was no statistically significant link with the duration of symptoms of CTS, the intensity of symptoms or the presence of Tinel's sign.

      The researchers behind the study, from the faculty of neurology at Gaziantep University , say the pain of CTS is usually worse at night, but that there have been few studies to assess the diagnostic value awakening against the common clinical tests.

      In Tinel's sign, percussion leads to tingling sensations. In Phalen's test, the patient puts the wrist under pressure for a minute or so which pinches the median nerve.
      Arthroplasty Arthroscopic Surgery 2002; 13(1): 10-14. "Comparison of Awakening From Sleep with Phalen Test And Tinel's Sign in Patients with Carpal Tunnel Syndrome"

      E-Mail this DGReview to a colleague   To print, use this version






      All contents Copyright (c) 1995-2008 Doctor's Guide Publishing Limited. All rights reserved.



      The NTK initiative. Physicians helping physicians identify Need-To-Know science
         Feedback
      Please rate this article: Strongly DISAGREE...Strongly AGREE NTK logo
      Question 1 - Physicians need to become aware of this information as soon as possible. Question 2 - This information is likely to have an impact on the way physicians practice medicine.
      1
      2
      3
      4
      5
      6
      7
      Send