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Updated: Aug 17, 2026

Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies
Published on: January 11, 2019
Hand elevation test for assessment of carpal tunnel syndrome
R Amirfeyz1, C Gozzard, I J Leslie
1Hand Division of Department of Trauma and Orthopaedic Surgery, Bristol Royal Infirmary, Bristol, UK. ramirfeyz@yahoo.com
Abstract:
The Hand Elevation test is a new provocative test for the diagnosis of carpal tunnel syndrome. We have investigated the sensitivity and specificity of this test in 48 patients with a clinical diagnosis of carpal tunnel syndrome and compared it to Tinel's and Phalen's tests. The Hand Elevation test was found to be 88% sensitive and 98% specific. This test is a simple, reproducible provocative test which is easily employed in conjunction with other known tests to assist in the diagnosis of carpal tunnel syndrome.
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