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Patient-Reported Disability Measures Do Not Correlate with Electrodiagnostic Severity in Carpal Tunnel Syndrome.
Tulipan, Jacob E; Lutsky, Kevin F; Maltenfort, Mitchell G; Freedman, Mitchell K; Beredjiklian, Pedro K.
Afiliação
  • Tulipan JE; Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, Pa.; and Rothman Institute, Philadelphia, Pa.
  • Lutsky KF; Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, Pa.; and Rothman Institute, Philadelphia, Pa.
  • Maltenfort MG; Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, Pa.; and Rothman Institute, Philadelphia, Pa.
  • Freedman MK; Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, Pa.; and Rothman Institute, Philadelphia, Pa.
  • Beredjiklian PK; Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, Pa.; and Rothman Institute, Philadelphia, Pa.
Plast Reconstr Surg Glob Open ; 5(8): e1440, 2017 Aug.
Article em En | MEDLINE | ID: mdl-28894661
BACKGROUND: Electrophysiologic studies including electromyography and nerve conduction studies play a role in the evaluation of carpal tunnel syndrome (CTS), despite evidence that these studies do not correlate with CTS-specific symptom scores. There is a lack of evidence comparing electrophysiologic data with general measures of function. METHODS: Fifty patients presenting for CTS treatment over an 8-month period were analyzed retrospectively. All patients completed surveys including the Quick Disabilities of the Arm, Shoulder, and Hand questionnaire (DASH) and the Medical Outcomes Study 12-Item Short-Form Survey [(physical component summary 12, mental component summary (MCS-12)]. Electromyography and nerve conduction studies were performed on all patients and compared with outcome scores. RESULTS: Analysis demonstrated no relationship between DASH or MCS-12 and electrodiagnostic severity. No significant correlations were noted between DASH or MCS-12 and median motor or sensory latency. There was a moderate-weak correlation (rho = 0.34) between more severe electrophysiologic grade and better function based on physical component summary 12. CONCLUSIONS: Electrodiagnostic severity grades do not correlate with patient-reported disability, including the DASH and MCS-12 surveys. There is a counterintuitive correlation between more-severe electrodiagnostic findings and decreased physical disability. These findings indicate that disability may not correlate with electrodiagnostic severity of median neuropathy in CTS.

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Plast Reconstr Surg Glob Open Ano de publicação: 2017 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Plast Reconstr Surg Glob Open Ano de publicação: 2017 Tipo de documento: Article País de publicação: Estados Unidos