TY  - JOUR
T1  - American Academy of Orthopaedic Surgeons Clinical Practice Guideline onDiagnosis of Carpal Tunnel Syndrome
AU  - Keith, Michael Warren
AU  - Masear, Victoria
AU  - Chung, Kevin C.
AU  - Maupin, Kent
AU  - Andary, Michael
AU  - Amadio, Peter C.
AU  - WattersIII, William C.
AU  - Goldberg, Michael J.
AU  - HaralsonIII, Robert H.
AU  - Turkelson, Charles M.
AU  - Wies, Janet L.
AU  - McGowan, Richard
Y1  - 2009/10/01
N1  - 10.2106/JBJS.I.00643
JO  - The Journal of Bone & Joint Surgery
SP  - 2478
EP  - 2479
VL  - 91
IS  - 10
N2  - 
Summary of RecommendationsRecommendation 1.1 The physician should obtain an accurate patient history (Level V, Grade C).Recommendation 2.1 The physician should perform a physical examination of the patient that may include:personal characteristics (Level V, Grade C)performing a sensory examination (Level V, Grade C)performing manual muscle testing of the upper extremity (Level V, Grade C)performing provocative tests (Level V, Grade C), and/orperforming discriminatory tests for alternative diagnoses (Level V, Grade C).Recommendation 3.1a The physician may obtain electrodiagnostic tests to differentiate among diagnoses. (Level V, Grade C)Recommendation 3.1b The physician may obtain electrodiagnostic tests in the presence of thenar atrophy and/or persistent numbness (Level V, Grade C).Recommendation 3.1c The physician should obtain electrodiagnostic tests if clinical and/or provocative tests are positive and surgical management is being considered (Level II and III, Grade B)Recommendation 3.2 If the physician orders electrodiagnostic tests, the testing protocol should follow the AAN/AANEM/AAPMR guidelines for diagnosis of CTS (Level IV and V, Grade C).Recommendation 3.3 The physician should not routinely evaluate patients suspected of having carpal tunnel syndrome with new technology, such as magnetic resonance imaging (MRI), computerized axial tomography (CAT) and pressure specified sensorimotor devices (PSSD) in the wrist and hand. (Level V, Grade C).

SN  - 0021-9355
M3  - doi: 10.2106/JBJS.I.00643
UR  - http://dx.doi.org/10.2106/JBJS.I.00643
ER  -