Carpal tunnel syndrome. Evaluation of a quantitative provocational diagnostic test

M. Koris, R. H. Gelberman, K. Duncan, M. Boublick, B. Smith

Research output: Contribution to journalArticlepeer-review

41 Scopus citations


A diagnostic test combining the sensitivity of the Semmes-Weinstein monofilament measurement and the specificity of the wrist flexion provocational test has been evaluated in a group of 21 patients (33 hands) with electrodiagnostically verified carpal tunnel syndrome and 30 asymptomatic hands (controls). Semmes-Weinstein monofilament testing consisted of several sensory threshold measurements obtained by the application of force-calibrated Semmes-Weinstein monofilaments to each digit in the hand with the wrist in neutral position. The quantitative provocational diagnostic test employed Semmes-Weinstein measurements obtained with the wrist both in the neutral and flexed positions. The sensitivity (82%) and specificity (86%) of the combined test were calculated. It was more sensitive and specific than the wrist flexion test alone and more specific than the Semmes-Weinstein sensibility test. The combined test is recommended as the most accurate and sensitive quantitative clinical test for median nerve compression evaluated by the authors to date.

Original languageEnglish
Pages (from-to)157-161
Number of pages5
JournalClinical orthopaedics and related research
Issue number251
StatePublished - Jan 1 1990


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