A revised electrodiagnosis-based severity classification for carpal tunnel syndrome.
J Back Musculoskelet Rehabil
; 37(5): 1205-1212, 2024.
Article
em En
| MEDLINE
| ID: mdl-38578879
ABSTRACT
BACKGROUND:
An electrodiagnostic evaluation is conducted to diagnose carpal tunnel syndrome (CTS) and evaluate its severity.OBJECTIVE:
This study proposes a revised approach for classifying the severity of electrophysiological findings for patients with CTS.METHODS:
This retrospective cross-sectional study included patients with CTS confirmed through electrodiagnostic evaluations. Based on the Stevens' classification, the patients were divided into three groups (mild/moderate/severe). A new intermediate group was defined to identify patients with normal motor nerve conduction studies and abnormal electromyographic results. CTS pain was evaluated using a numeric rate scale. Physical examinations and sonographic evaluation were performed to detect anatomical abnormalities.RESULTS:
Overall, 1,069 CTS hands of 850 CTS patients were included. The mean age was 57.9 ± 10.8 years, and 336 (39.5%) were men. There were 522 (48.8%) mild cases; 281 (26.3%) moderate cases; and 266 (24.9%) severe cases. In the severe group, 49 cases were reclassified into the intermediate group. The median cross-sectional area in the intermediate group significantly differed from that in the severe group. However, the pain score significantly differed from that of the moderate group.CONCLUSION:
The intermediate CTS group showed clinical features that were intermediate to those of the moderate and severe CTS groups.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article