FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2802062868> ?p ?o ?g. }

• W2802062868 endingPage "e14" @default.
• W2802062868 startingPage "e14" @default.
• W2802062868 abstract "Carpal tunnel syndrome (CTS) is a common diagnosis that requires a thorough clinical history and examination. Electrodiagnostic (EDX) evaluation with nerve conduction studies (NCS) is frequently performed to assist the ordering physician when considering additional therapies or surgical intervention. It is a sensitive tool to examine median nerve dysfunction and aids in distinguishing CTS from cervical radiculopathy (CR) by identifying selective slowing of the conduction of median nerve fibers across the carpal tunnel. Some argue that if the NCS shows evidence of CTS, then needle EMG is not necessary. Current practice guidelines consider needle EMG to be an optional test better suited to exclude concurrent causes (cervical radiculopathy) of the patient’s symptoms for improving diagnostic sensitivity. We set out to determine the number of suspected CTS patients with evidence of CTS on NCS who also have concurrent needle EMG evidence of cervical radiculopathy. We aimed to further explore whether clinical examination performed by physicians ordering EDX could distinguish between the diagnoses of CTS and CR before testing is performed. A retrospective chart review of 606 cases of CTS and CR in the Mayo Clinic Arizona EMG Laboratory from January 2015 to January 2016 was performed. Clinical notes of referring physicians for EMG/NCS and final EMG/NCS reports were reviewed for referring diagnoses, clinical history, physical exam and EMG diagnoses. Out of 472 patients diagnosed with CTS, 19.1% also had a concurrent diagnosis of CR confirmed by needle EMG (n = 90). 17.2% of suspected CTS based on clinical assessment were not confirmed after electrodiagnostic testing (n = 104). 29.0% of suspected CR patients were not confirmed after electrodiagnostic testing (n = 176). 12 clinical assessment data points (clinical history and physical exam findings) felt to represent a common evaluation of diagnoses of CTS were compiled. These included cervicogenic pain, radicular pain, hand paresthesias, nocturnal pain, symptoms worse with activity, symptoms relieved by shaking out hands (“flick” sign), myotomal weakness, dermatomal sensory abnormalities, hyporeflexia, loss of sensation in the median nerve distribution, thenar atrophy, and hand weakness. The only clinical finding found to have a clinically significant association with both CTS and CR was hand paresthesias (p = 0.001). This series demonstrated that 19% of patients seen with CTS have an associated cervical radiculopathy. Without needle electromyography, these concurrent diagnoses would be missed, which can affect subsequent management and therapy. Clinical assessment alone may not be enough to distinguish between CTS and CR, as has been demonstrated in previous studies. Even though practice guidelines allude to optional needle EMG, this data provides a strong argument in favor of performing both NCS and needle EMG in patients with suspected CTS." @default.
• W2802062868 created "2018-05-17" @default.
• W2802062868 creator A5031224866 @default.
• W2802062868 creator A5048453757 @default.
• W2802062868 date "2018-05-01" @default.
• W2802062868 modified "2023-09-26" @default.
• W2802062868 title "T34. Diagnosing patients with carpal tunnel syndrome: Do you need needle EMG?" @default.
• W2802062868 doi "https://doi.org/10.1016/j.clinph.2018.04.035" @default.
• W2802062868 hasPublicationYear "2018" @default.
• W2802062868 type Work @default.
• W2802062868 sameAs 2802062868 @default.
• W2802062868 citedByCount "1" @default.
• W2802062868 countsByYear W28020628682020 @default.
• W2802062868 crossrefType "journal-article" @default.
• W2802062868 hasAuthorship W2802062868A5031224866 @default.
• W2802062868 hasAuthorship W2802062868A5048453757 @default.
• W2802062868 hasConcept C126838900 @default.
• W2802062868 hasConcept C141071460 @default.
• W2802062868 hasConcept C1862650 @default.
• W2802062868 hasConcept C187212893 @default.
• W2802062868 hasConcept C2777515770 @default.
• W2802062868 hasConcept C2777832143 @default.
• W2802062868 hasConcept C2779110535 @default.
• W2802062868 hasConcept C2779658331 @default.
• W2802062868 hasConcept C2779746960 @default.
• W2802062868 hasConcept C2910131515 @default.
• W2802062868 hasConcept C2983449737 @default.
• W2802062868 hasConcept C2985379065 @default.
• W2802062868 hasConcept C2992897362 @default.
• W2802062868 hasConcept C2994188736 @default.
• W2802062868 hasConcept C527108885 @default.
• W2802062868 hasConcept C534262118 @default.
• W2802062868 hasConcept C71924100 @default.
• W2802062868 hasConcept C99508421 @default.
• W2802062868 hasConceptScore W2802062868C126838900 @default.
• W2802062868 hasConceptScore W2802062868C141071460 @default.
• W2802062868 hasConceptScore W2802062868C1862650 @default.
• W2802062868 hasConceptScore W2802062868C187212893 @default.
• W2802062868 hasConceptScore W2802062868C2777515770 @default.
• W2802062868 hasConceptScore W2802062868C2777832143 @default.
• W2802062868 hasConceptScore W2802062868C2779110535 @default.
• W2802062868 hasConceptScore W2802062868C2779658331 @default.
• W2802062868 hasConceptScore W2802062868C2779746960 @default.
• W2802062868 hasConceptScore W2802062868C2910131515 @default.
• W2802062868 hasConceptScore W2802062868C2983449737 @default.
• W2802062868 hasConceptScore W2802062868C2985379065 @default.
• W2802062868 hasConceptScore W2802062868C2992897362 @default.
• W2802062868 hasConceptScore W2802062868C2994188736 @default.
• W2802062868 hasConceptScore W2802062868C527108885 @default.
• W2802062868 hasConceptScore W2802062868C534262118 @default.
• W2802062868 hasConceptScore W2802062868C71924100 @default.
• W2802062868 hasConceptScore W2802062868C99508421 @default.
• W2802062868 hasLocation W28020628681 @default.
• W2802062868 hasOpenAccess W2802062868 @default.
• W2802062868 hasPrimaryLocation W28020628681 @default.
• W2802062868 hasRelatedWork W182432605 @default.
• W2802062868 hasRelatedWork W2045932528 @default.
• W2802062868 hasRelatedWork W2120795124 @default.
• W2802062868 hasRelatedWork W2130469378 @default.
• W2802062868 hasRelatedWork W2802062868 @default.
• W2802062868 hasRelatedWork W2962103699 @default.
• W2802062868 hasRelatedWork W3019927152 @default.
• W2802062868 hasRelatedWork W3200788034 @default.
• W2802062868 hasRelatedWork W4240797149 @default.
• W2802062868 hasRelatedWork W2290260314 @default.
• W2802062868 hasVolume "129" @default.
• W2802062868 isParatext "false" @default.
• W2802062868 isRetracted "false" @default.
• W2802062868 magId "2802062868" @default.
• W2802062868 workType "article" @default.