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Review Article

Online Publishing Date:
27 / 12 / 2022

 


Diagnostic scales, questionnaires, and hand diagrams in comparison to nerve conduction studies in the matter of the diagnostic dilemma of carpal tunnel syndrome: a review

Sami Fadhel Almalki, Abdulaziz Yousef Alahmed, Fatimah Hussain Albahrani, Fatimah Ali Albahrani, Mohammed Hassan Almaslami, Mohammed Ali Alshayeb, Aqeel Qasem Alrasasi.


Abstract
Carpal tunnel syndrome (CTS) is considered as the most common peripheral nerve pathology, as it affects 1-3 persons per 1,000 with a percentage of 3.8%, in a female-to-male ratio of 3 : 1. A lot of attempts have been made to set specific diagnostic criteria to facilitate the process of diagnosis and to minimize the cost of investigations, conservatively with splinters, steroid injection, electrotherapy, and manual therapy. Thus, this study aimed to reconstruct a summarized and accessible database regarding a costless diagnosis of CTS to limit the cost of investigations and minimize surgical interventions as much as possible. For this purpose, the selection of articles was conducted through a literature search in Google Scholar, PubMed, and Cochrane databases. The strategy was to identify studies and report on their accuracy, specificity, and sensitivity in diagnosing CTS using different methods which include diagnostic scales, questionnaires, hand symptoms diagram (HSD), and nerve conduction. It was found that Kamath and Stothard built a questionnaire [Kamath and Stothard questionnaire (KSQ)] and HSD are good choices as the initial step in the diagnosis of CTS. However, in the presence of nerve conduction studies (NCSs), it must be considered a gold standard diagnostic modality, and the previous measures could not replace it due to the large differences in accuracy. Furthermore, surgical decompression should not be standardized based on either KSQ or HSD because only precise severity grading by NCS is trustworthy to establish the indication for surgical intervention.

Key words: Neurosurgery, carpal tunnel syndrome, sensitivity, specificity, nerve conduction study


 
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How to Cite this Article
Pubmed Style

Almalki SF, Alahmed AY, Albahrani FH, Albahrani FA, Almaslami MH, Alshayeb MA, Alrasasi AQ. Diagnostic scales, questionnaires, and hand diagrams in comparison to nerve conduction studies in the matter of the diagnostic dilemma of carpal tunnel syndrome: a review. IJMDC. 2023; 7(3): 587-593. doi:10.24911/IJMDC.51-1670860275

Web Style

Almalki SF, Alahmed AY, Albahrani FH, Albahrani FA, Almaslami MH, Alshayeb MA, Alrasasi AQ. Diagnostic scales, questionnaires, and hand diagrams in comparison to nerve conduction studies in the matter of the diagnostic dilemma of carpal tunnel syndrome: a review. https://www.ijmdc.com/?mno=94003 [Access: March 26, 2024]. doi:10.24911/IJMDC.51-1670860275

AMA (American Medical Association) Style

Almalki SF, Alahmed AY, Albahrani FH, Albahrani FA, Almaslami MH, Alshayeb MA, Alrasasi AQ. Diagnostic scales, questionnaires, and hand diagrams in comparison to nerve conduction studies in the matter of the diagnostic dilemma of carpal tunnel syndrome: a review. IJMDC. 2023; 7(3): 587-593. doi:10.24911/IJMDC.51-1670860275


Vancouver/ICMJE Style

Almalki SF, Alahmed AY, Albahrani FH, Albahrani FA, Almaslami MH, Alshayeb MA, Alrasasi AQ. Diagnostic scales, questionnaires, and hand diagrams in comparison to nerve conduction studies in the matter of the diagnostic dilemma of carpal tunnel syndrome: a review. IJMDC. (2023), [cited March 26, 2024]; 7(3): 587-593. doi:10.24911/IJMDC.51-1670860275


Harvard Style

Almalki, S. F., Alahmed, . A. Y., Albahrani, . F. H., Albahrani, . F. A., Almaslami, . M. H., Alshayeb, . M. A. & Alrasasi, . A. Q. (2023) Diagnostic scales, questionnaires, and hand diagrams in comparison to nerve conduction studies in the matter of the diagnostic dilemma of carpal tunnel syndrome: a review. IJMDC, 7 (3), 587-593. doi:10.24911/IJMDC.51-1670860275


Turabian Style

Almalki, Sami Fadhel, Abdulaziz Yousef Alahmed, Fatimah Hussain Albahrani, Fatimah Ali Albahrani, Mohammed Hassan Almaslami, Mohammed Ali Alshayeb, and Aqeel Qasem Alrasasi. 2023. Diagnostic scales, questionnaires, and hand diagrams in comparison to nerve conduction studies in the matter of the diagnostic dilemma of carpal tunnel syndrome: a review. International Journal of Medicine in Developing Countries, 7 (3), 587-593. doi:10.24911/IJMDC.51-1670860275


Chicago Style

Almalki, Sami Fadhel, Abdulaziz Yousef Alahmed, Fatimah Hussain Albahrani, Fatimah Ali Albahrani, Mohammed Hassan Almaslami, Mohammed Ali Alshayeb, and Aqeel Qasem Alrasasi. "Diagnostic scales, questionnaires, and hand diagrams in comparison to nerve conduction studies in the matter of the diagnostic dilemma of carpal tunnel syndrome: a review." International Journal of Medicine in Developing Countries 7 (2023), 587-593. doi:10.24911/IJMDC.51-1670860275


MLA (The Modern Language Association) Style

Almalki, Sami Fadhel, Abdulaziz Yousef Alahmed, Fatimah Hussain Albahrani, Fatimah Ali Albahrani, Mohammed Hassan Almaslami, Mohammed Ali Alshayeb, and Aqeel Qasem Alrasasi. "Diagnostic scales, questionnaires, and hand diagrams in comparison to nerve conduction studies in the matter of the diagnostic dilemma of carpal tunnel syndrome: a review." International Journal of Medicine in Developing Countries 7.3 (2023), 587-593. Print. doi:10.24911/IJMDC.51-1670860275


APA (American Psychological Association) Style

Almalki, S. F., Alahmed, . A. Y., Albahrani, . F. H., Albahrani, . F. A., Almaslami, . M. H., Alshayeb, . M. A. & Alrasasi, . A. Q. (2023) Diagnostic scales, questionnaires, and hand diagrams in comparison to nerve conduction studies in the matter of the diagnostic dilemma of carpal tunnel syndrome: a review. International Journal of Medicine in Developing Countries, 7 (3), 587-593. doi:10.24911/IJMDC.51-1670860275




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