The American Academy of Orthopaedic Surgeons Evidence-Based Clinical Practice Guideline on: Management of Carpal Tunnel Syndrome
| Autor: | Mukarram Mohiuddin, Mickey S. Cho, Anne Woznica, Kyle Mullen, John D. Lubahn, Julie E. Adams, Wilson Z. Ray, David S. Jevsevar, David Rempel, Deborah S. Cummins, Erica Linskey, Mohammad Salajegheh, Peter Shores, Andrew Gurman, Tamara D. Rozental, Kevin G. Shea, Grant Thomson, Robert R.L. Gray, Jay Mark Evans, William Shaffer, Michael W. Keith, Jayson Murray, Kaitlyn S. Sevarino, Gary Mlady, Robert Afra, Joy C. MacDermid, Kevin J. Bozic, Robert J. Spinner, Allan E. Peljovich, Yasseline Martinez, Brent Graham, John M. Stephenson, Atul T. Patel |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Evidence-based practice Physical examination Immobilization 03 medical and health sciences 0302 clinical medicine Medicine and Health Sciences Humans Medicine Orthopedics and Sports Medicine Disease management (health) Carpal tunnel syndrome Postoperative Care 030222 orthopedics medicine.diagnostic_test business.industry Disease Management Orthopedic Surgeons General Medicine Guideline medicine.disease Carpal Tunnel Syndrome nervous system diseases Test (assessment) Clinical Practice medicine.anatomical_structure Evidence-Based Practice Physical therapy Upper limb Surgery business 030217 neurology & neurosurgery |
| Zdroj: | Bone and Joint Institute Scopus-Elsevier |
| Popis: | The AAOS Evidence-Based Guideline on Management of Carpal Tunnel Syndrome (CTS) includes both diagnosis and treatment. This clinical practice guideline has been endorsed by the American Society for Surgery of the Hand (ASSH), the American College of Radiology (ACR), the American College of Surgeons (ACS), and the American Society of Plastic Surgeons (ASPS). This brief summary of the AAOS Clinical Practice Guideline contains a list of the recommendations and the rating of strength based on the quality of the supporting evidence. Discussion of how each recommendation was developed and the complete evidence report are contained in the full guideline at www.aaos.org/guidelines. ### OBSERVATION Strong evidence supports that thenar atrophy is strongly associated with ruling in CTS but poorly associated with ruling out CTS. Strength of Recommendation: Strong ★★★★ ### PHYSICAL SIGNS Strong evidence supports not using the Phalen test, Tinel sign, or upper limb neurodynamic/nerve test (ULNT) criterion A/B as independent physical examination maneuvers to diagnose CTS, because alone, each has a poor or weak association with ruling in or ruling out CTS. Strength of Recommendation: Strong ★★★★ ### MANEUVERS Moderate evidence supports not using the following as independent physical examination maneuvers to diagnose CTS, because alone, each has a poor or weak association with ruling in or ruling out CTS |
| Databáze: | OpenAIRE |
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