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PHALEN TEST POSITIVATION TIME AND ITS CORRELATION WITH ELECTRONEUROMYOGRAPHY.

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The Phalen test accurately classified carpal tunnel syndrome (CTS) in 78.8% of patients, showing similar results to electroneuromyography (ENMG), especially for severe cases.

Keywords:
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Area of Science:

  • Orthopedics
  • Neurology
  • Diagnostic Medicine

Background:

  • Carpal tunnel syndrome (CTS) is a common condition affecting the median nerve.
  • Accurate diagnosis is crucial for appropriate treatment, including surgical intervention.
  • The Phalen test is a widely used clinical maneuver for CTS assessment.

Purpose of the Study:

  • To evaluate the diagnostic concordance between the Phalen test and electroneuromyography (ENMG) for CTS classification.
  • To determine the efficacy of the Phalen test in identifying severe CTS cases.

Main Methods:

  • A cross-sectional observational study was conducted.
  • Patients with suspected carpal tunnel syndrome were recruited from an orthopedic outpatient clinic.
  • The Phalen test results were compared with findings from ENMG.

Main Results:

  • A total of 33 patients were included, predominantly women (87.9%).
  • Electroneuromyography (ENMG) diagnosed most patients with severe CTS.
  • The Phalen test demonstrated agreement with ENMG in 78.8% of cases (26 out of 33 patients).

Conclusions:

  • The Phalen test is a valuable clinical tool for classifying carpal tunnel syndrome.
  • Its results closely align with ENMG findings, particularly in severe CTS.
  • The Phalen test can aid in treatment recommendations, including surgical options.