Musculoskeletal problems of the wrist and hand other diagnostic studies

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Musculoskeletal problems of the wrist and hand Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Other Diagnostic Studies[edit | edit source]

Nerve Conduction Studies[edit | edit source]

  • Indicated if suspected median nerve compression
  • Nerve conduction velocity (NCV) decreased in 70% of cases; high PPV, but sensitivity low

Positive Median Nerve Block/or Steroid Injection[edit | edit source]

  • Can be used to confirm suspected diagnosis of CTS
  • Simultaneous steroid injection is therapeutic as well as diagnostic
  • Significant risk complications (nerve atrophy or necrosis): should only be performed by an expert

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