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Research ArticleResearch

Suspected carpal tunnel syndrome

Do nerve conduction study results and symptoms match?

Regina M. Taylor-Gjevre, John A. Gjevre and Bindu Nair
Canadian Family Physician July 2010; 56 (7) e250-e254;
Regina M. Taylor-Gjevre
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  • For correspondence: r.gjevre@usask.ca
John A. Gjevre
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Bindu Nair
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    Table 1.

    Comparison of groups with positive and negative NCS results

    VARIABLEPOSITIVE NCS RESULTS N = 121NEGATIVE NCS RESULTS N = 90PVALUE (2-TAILED)95% CI
    Mean (SD) age, y49.08 (12.92)43.54 (10.45).001−8.81 to −2.26
    Male, %27.324.4.643NC
    Mean (SD) symptom duration, mo33.07 (49.53)24.21(25.63).095−19.26 to 1.55
    Mean (SD) BMI30.61 (6.82)27.45 (5.5)< .001−4.89 to −1.43
    Mean (SD) Levine symptomatic score*29.82 (7.46)27.34 (7.01).016†−4.50 to −0.47
    Mean (SD) Levine functional score*15.40 (5.52)14.58 (4.87).267−2.27 to 0.63
    Missed work, %(n = 29)55.244.8.855NC
    WCB cases, % (n = 13)38.561.5.215NC
    • BMI—body mass index, CI—confidence interval, NC—not calculated, NCS—nerve conduction study, SD—standard deviation, WCB—Workers’ Compensation Board.

    • ↵* Minimum and maximum cumulative symptom scores on the Levine scoring instrument are 11 and 55, respectively; minimum and maximum cumulative function scores are 8 and 40, respectively. Higher scores are associated with greater severity of disease.

    • ↵† Not significant when corrected for multiple comparisons.

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    Table 2.

    Comparison of patient symptom lateralization and NCS results

    PATIENT CHARACTERISTICSNCS RESULTS
    BILATERAL POSITIVE N (%)ISOLATED RIGHT POSITIVE N (%)ISOLATED LEFT POSITIVE N (%)BILATERAL NEGATIVE N (%)OTHER NON-CTS ABNORMALITY N (%)
    Lateralization of symptoms
      • Bilateral (n = 139)54 (38.8)15 (10.8)10 (7.2)55 (39.6)5 (3.6)
      • Isolated right side (n = 43)11 (25.6)11 (25.6)019 (44.2)2 (4.7)
      • Isolated left side (n = 29)13 (44.8)3 (10.3)4 (13.8)9 (31.0)0
      • Total (N = 211)78 (37.0)29 (13.7)14 (6.6)83 (39.3)7 (3.3)
    Hand dominance
      • Right (n = 191)69 (36.1)26 (13.6)14 (7.3)75 (39.3)7 (3.7)
      • Left (n = 20)9 (45.0)3 (15.0)08 (40.0)0
    • CTS—carpal tunnel syndrome, NCS—nerve conduction study.

    • View popup
    Table 3.

    Comparison of symptomatic hand count with NCS results

    NCS RESULTSSYMPTOMATIC HANDTOTALLIKELIHOOD RATIOS
    YESNO
    Positive172271991.3
    Negative178452230.8
    Total35072422NA
    • NA—not applicable, NCS—nerve conduction study.

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Canadian Family Physician: 56 (7)
Canadian Family Physician
Vol. 56, Issue 7
1 Jul 2010
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Suspected carpal tunnel syndrome
Regina M. Taylor-Gjevre, John A. Gjevre, Bindu Nair
Canadian Family Physician Jul 2010, 56 (7) e250-e254;

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Regina M. Taylor-Gjevre, John A. Gjevre, Bindu Nair
Canadian Family Physician Jul 2010, 56 (7) e250-e254;
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