Sensibility testing in patients with carpal tunnel syndrome

J Bone Joint Surg Am. 1984 Jan;66(1):60-4.

Abstract

We evaluated the sensibility of the hand preoperatively and at intervals postoperatively in twenty-three hands of twenty patients with idiopathic carpal-tunnel syndrome who underwent carpal tunnel release. Tests of sensibility included the threshold tests (vibrometry, 256-cycles-per-second vibration, and Semmes-Weinstein monofilaments) and one innervation-density test (two-point discrimination). In addition the wrist-flexion test, nerve-percussion test, and tourniquet test were performed preoperatively. Only five of the twenty-three hands had abnormal two-point discrimination and each of these also had markedly abnormal threshold-test values. Nineteen of twenty-three hands preoperatively had decreased sensibility detected by both Semmes-Weinstein monofilament testing and vibrometry. Six weeks after carpal tunnel release, all of the hands demonstrated improvement on threshold testing, and 65 per cent had normal values.

MeSH terms

  • Adult
  • Aged
  • Carpal Tunnel Syndrome / physiopathology*
  • Carpal Tunnel Syndrome / surgery
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neural Conduction
  • Neurologic Examination / methods
  • Postoperative Period
  • Pressure
  • Sensation*
  • Sensory Thresholds
  • Time Factors
  • Vibration