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Muscle Nerve ; 59(3): 321-325, 2019 03.
Article in English | MEDLINE | ID: mdl-30549061

ABSTRACT

INTRODUCTION: To date, no method has been described or utilized to study the distribution of symptoms in carpal tunnel syndrome. We describe a technique of symptom-mapping that yields a population-based "anatomic profile" of carpal tunnel syndrome. METHODS: Symptoms were mapped on visual questionnaires depicting the volar hand, wrist, and forearm. Thirty-four hands in 26 patients with isolated carpal tunnel syndrome were included in the study. RESULTS: Painful symptoms were clearly centered over the carpal tunnel and were reported much less frequently in the digits. Nonpainful sensory disturbances (e.g., numbness, paresthesias) were found to have a much more peripheral and lateral distribution. DISCUSSION: Our technique serves to establish a population-based "anatomic profile" of carpal tunnel syndrome, assisting with clinical diagnosis and serving as a reference point for the comparison of pretreatment and posttreatment clinical data. Muscle Nerve 59:321-325, 2019.


Subject(s)
Carpal Tunnel Syndrome/physiopathology , Adult , Aged , Electromyography , Female , Forearm/physiopathology , Hand/physiopathology , Humans , Hypesthesia/etiology , Hypesthesia/physiopathology , Male , Middle Aged , Pain/etiology , Pain/physiopathology , Paresthesia/etiology , Paresthesia/physiopathology , Patient Reported Outcome Measures , Population , Retrospective Studies , Surveys and Questionnaires , Wrist/physiopathology
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