![]() ![]() The control group consists of 35 patients with 70 hands, and NCS were not conducted in this group, but same exclusion criteria were applied. Patients who had symptoms and signs of a proven diagnosis of cervical radiculopathy and other upper limb entrapment neuropathy were excluded, also patients with diabetes, thyroid disease, peripheral neuropathy, and peripheral vascular disease were excluded hence, 18 patients were excluded leaving 105 patients with 128 hands of them, 23 patients had bilateral disease. One hundred twenty-three patients with 171 hands presented with classical symptoms of carpal tunnel syndrome, with pain and numbness that worsened with exertion and at night in the distribution of medial nerve, and with positive nerve conduction studies (NCS) and electromyography results suggesting median nerve entrapment. We aim to compare this test to commonly used provocative tests, and to confirm its reliability in diagnosing CTS and evaluating improvement after carpal tunnel release surgery. This is a prospective clinical study of 123 patients with 171 hands presenting with classical symptoms of carpal tunnel syndrome who were included in this study, from October 2013 to October 2015, and they underwent open surgical release of flexor retinaculum at the Neurosurgery Department of Benha University Hospital. ConclusionĪRT is a simple, reliable, and easily performed test for evaluating carpal tunnel syndrome it is superior to other tests and could be used also to assess improvement after surgery. ![]() ART is the most sensitive and specific test and has the highest positive predictive value of 98.3%, negative predictive value of 81.9%, and accuracy of 91.4%. This is compared to 75, 81.3, 79.7, and 83.6% of positive results in Tinel’s test, compression test, Phalen’s test, and combined Phalen’s and compression test. MethodsĪ prospective clinical study of 123 patients with 171 hands presenting with classical symptoms of carpal tunnel syndrome were included in this study, from October 2013 to October 2015, and they underwent open surgical release of flexor retinaculum at the Neurosurgery Department of Benha University Hospital. The diagnosis of carpal tunnel syndrome (CTS) is established mainly on a clinical basis, and diagnosis is done after careful history taking and examination including known provocative tests with varying efficacy and reliability. ![]()
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