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腕管综合征中的Tinel征和Phalen试验。

Tinel's sign and Phalen's test in carpal tunnel syndrome.

作者信息

Kuschner S H, Ebramzadeh E, Johnson D, Brien W W, Sherman R

机构信息

Department of Orthopedic Surgery, University of Southern California School of Medicine, Los Angeles.

出版信息

Orthopedics. 1992 Nov;15(11):1297-302. doi: 10.3928/0147-7447-19921101-08.

Abstract

Tinel's sign and Phalen's test are two provocative tests used in the diagnosis of carpal tunnel syndrome. A review of the literature reveals a wide range of sensitivity for these tests. Analyzing the historical data and comparing these to the Tinel's sign and Phalen's test results of 100 individuals without carpal tunnel syndrome (200 wrists), we conclude that the Tinel's sign is not useful in the evaluation of patients with carpal tunnel syndrome, whereas Phalen's test, which has a greater sensitivity and specificity, can be of use.

摘要

Tinel征和Phalen试验是用于诊断腕管综合征的两种激发试验。文献综述显示这些试验的敏感性范围很广。分析历史数据并将其与100例无腕管综合征患者(200只手腕)的Tinel征和Phalen试验结果进行比较后,我们得出结论,Tinel征对评估腕管综合征患者无用,而敏感性和特异性更高的Phalen试验可能有用。

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