[The usefulness of the provocative tests in nerve monitoring after operative treatment of upper limb neuropathy].
The reoloogical impairment, that may be caused by external pressure, is considered the major cause of the neuropathy. Paresthesia is the initial symptoms of the pathology. The provocative tests are about to elicit the dysfunction of the nerves to predict the risk for endangering neuropathy. The paper I design to evaluate the usefulness of the provocative tests in post surgical monitoring of neuropathy in the upper limb. The group of 65 patient with carpal and cubital tunnel syndrome were observed. The sensitivity and specificity of the test were evaluated. In carpal tunnel syndrome the highest sensitivity was shown in combined Phalen and tension band test. The highest specificity was shown in Tinel and tension band test. In patients with cubital tunnel syndrome the the most sensitive were combined flexion test with pneumatic band test. The highest specificity was shown with flexion test. There are no universal examination in upper limb neuropathy. The entrapment syndromes are suspected when the combination of coexisting clinical findings are observed, and confirmed when symptoms discontinue after operative treatment.
Nawrot
Przemysław
P
Klinika Chirurgii Kregosłupa, Ortopedii Onkologicznej i Traumatologii, Uniwersytet Medyczny im. Karola Marcinkowskiego w Poznaniu.
Nowakowski
Andrzej
A
Kubaszewski
Lukasz
L
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002349:Carpal Tunnel Syndrome / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008475:Median Nerve / Q000503:physiopathology*; D008875:Middle Aged; D009431:Neural Conduction; D009460:Neurologic Examination / Q000295:instrumentation* / Q000379:methods; D011237:Predictive Value of Tests; D011446:Prospective Studies; D016059:Range of Motion, Articular; D012680:Sensitivity and Specificity