Lack of utility of Semmes-Weinstein monofilament testing in suspected carpal tunnel syndrome
To investigate the value of Semmes-Weinstein monofilament (SWM) testing in patients with electrodiagnostically confirmed carpal tunnel syndrome in a group of patients with symptoms compatible with carpal tunnel syndrome. A total of 119 consecutive patients with symptoms compatible with carpal tunnel...
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| Veröffentlicht in: | American journal of physical medicine & rehabilitation 2002-08, Vol.81 (8), p.597-600 |
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| container_title | American journal of physical medicine & rehabilitation |
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| creator | PAGEL, Keith J KAUL, Matthew P DRYDEN, John D |
| description | To investigate the value of Semmes-Weinstein monofilament (SWM) testing in patients with electrodiagnostically confirmed carpal tunnel syndrome in a group of patients with symptoms compatible with carpal tunnel syndrome.
A total of 119 consecutive patients with symptoms compatible with carpal tunnel syndrome were assessed. Blinded comparison of two Semmes-Weinstein monofilament testing protocols with orthodromic midpalm electrodiagnostic testing was performed. The electrodiagnostic test was considered the standard to which the results of the Semmes-Weinstein monofilament testing were measured.
Fifty three percent of our patients had electrodiagnostically confirmed carpal tunnel syndrome. Using a conservative Semmes-Weinstein monofilament testing protocol the sensitivity was 98% and the specificity was 15%. The positive predictive value was 56% and the negative predictive value was 88%. Using a liberal Semmes-Weinstein monofilament testing protocol the sensitivity was 13% and the specificity was 88%. The positive predictive value was 53% and the negative predictive value was 47%.
Semmes-Weinstein monofilament testing was not shown to have utility in diagnosing electrodiagnostically confirmed carpal tunnel syndrome in our population of predominantly male veterans. |
| doi_str_mv | 10.1097/00002060-200208000-00007 |
| format | Article |
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A total of 119 consecutive patients with symptoms compatible with carpal tunnel syndrome were assessed. Blinded comparison of two Semmes-Weinstein monofilament testing protocols with orthodromic midpalm electrodiagnostic testing was performed. The electrodiagnostic test was considered the standard to which the results of the Semmes-Weinstein monofilament testing were measured.
Fifty three percent of our patients had electrodiagnostically confirmed carpal tunnel syndrome. Using a conservative Semmes-Weinstein monofilament testing protocol the sensitivity was 98% and the specificity was 15%. The positive predictive value was 56% and the negative predictive value was 88%. Using a liberal Semmes-Weinstein monofilament testing protocol the sensitivity was 13% and the specificity was 88%. The positive predictive value was 53% and the negative predictive value was 47%.
Semmes-Weinstein monofilament testing was not shown to have utility in diagnosing electrodiagnostically confirmed carpal tunnel syndrome in our population of predominantly male veterans.</description><identifier>ISSN: 0894-9115</identifier><identifier>EISSN: 1537-7385</identifier><identifier>DOI: 10.1097/00002060-200208000-00007</identifier><identifier>PMID: 12172069</identifier><language>eng</language><publisher>Baltimore, MD: Lippincott</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Carpal Tunnel Syndrome - diagnosis ; Diagnostic Techniques, Neurological - instrumentation ; Female ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Aged ; Nervous system ; Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques ; Predictive Value of Tests ; Sensitivity and Specificity</subject><ispartof>American journal of physical medicine & rehabilitation, 2002-08, Vol.81 (8), p.597-600</ispartof><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c407t-9c7ff1bee18c09f5786d475de9ca1d64de03a60ef5cf3f4a0fd88e8a852db08d3</citedby><cites>FETCH-LOGICAL-c407t-9c7ff1bee18c09f5786d475de9ca1d64de03a60ef5cf3f4a0fd88e8a852db08d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13804630$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12172069$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>PAGEL, Keith J</creatorcontrib><creatorcontrib>KAUL, Matthew P</creatorcontrib><creatorcontrib>DRYDEN, John D</creatorcontrib><title>Lack of utility of Semmes-Weinstein monofilament testing in suspected carpal tunnel syndrome</title><title>American journal of physical medicine & rehabilitation</title><addtitle>Am J Phys Med Rehabil</addtitle><description>To investigate the value of Semmes-Weinstein monofilament (SWM) testing in patients with electrodiagnostically confirmed carpal tunnel syndrome in a group of patients with symptoms compatible with carpal tunnel syndrome.
A total of 119 consecutive patients with symptoms compatible with carpal tunnel syndrome were assessed. Blinded comparison of two Semmes-Weinstein monofilament testing protocols with orthodromic midpalm electrodiagnostic testing was performed. The electrodiagnostic test was considered the standard to which the results of the Semmes-Weinstein monofilament testing were measured.
Fifty three percent of our patients had electrodiagnostically confirmed carpal tunnel syndrome. Using a conservative Semmes-Weinstein monofilament testing protocol the sensitivity was 98% and the specificity was 15%. The positive predictive value was 56% and the negative predictive value was 88%. Using a liberal Semmes-Weinstein monofilament testing protocol the sensitivity was 13% and the specificity was 88%. The positive predictive value was 53% and the negative predictive value was 47%.
Semmes-Weinstein monofilament testing was not shown to have utility in diagnosing electrodiagnostically confirmed carpal tunnel syndrome in our population of predominantly male veterans.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Carpal Tunnel Syndrome - diagnosis</subject><subject>Diagnostic Techniques, Neurological - instrumentation</subject><subject>Female</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system</subject><subject>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</subject><subject>Predictive Value of Tests</subject><subject>Sensitivity and Specificity</subject><issn>0894-9115</issn><issn>1537-7385</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE9PxCAQxYnRuOvqVzBc9IZCaQsczcZ_ySYe1HgxaVgYTLWltdDDfnupu7ocGObl94bJQwgzesWoEtc0nYyWlGRTlakjkyQO0JwVXBDBZXGI5lSqnCjGihk6CeEzEYXi4hjNWMZE8qs5el9p84U7h8dYN3XcTM9naFsI5A1qH2K6cNv5ztWNbsFHHCHE2n_gpIcx9GAiWGz00OsGx9F7aHDYeDt0LZyiI6ebAGe7ukCvd7cvyweyerp_XN6siMmpiEQZ4RxbAzBpqHKFkKXNRWFBGc1smVugXJcUXGEcd7mmzkoJUssis2sqLV-gy-3cfui-x7Rf1dbBQNNoD90YKsGUUCXPEyi3oBm6EAZwVT_UrR42FaPVlGz1l2z1n-yvJJL1fPfHuG7B7o27KBNwsQN0MLpxg_amDnuOS5qXnPIfNhOCzA</recordid><startdate>20020801</startdate><enddate>20020801</enddate><creator>PAGEL, Keith J</creator><creator>KAUL, Matthew P</creator><creator>DRYDEN, John D</creator><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20020801</creationdate><title>Lack of utility of Semmes-Weinstein monofilament testing in suspected carpal tunnel syndrome</title><author>PAGEL, Keith J ; KAUL, Matthew P ; DRYDEN, John D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c407t-9c7ff1bee18c09f5786d475de9ca1d64de03a60ef5cf3f4a0fd88e8a852db08d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Carpal Tunnel Syndrome - diagnosis</topic><topic>Diagnostic Techniques, Neurological - instrumentation</topic><topic>Female</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nervous system</topic><topic>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</topic><topic>Predictive Value of Tests</topic><topic>Sensitivity and Specificity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>PAGEL, Keith J</creatorcontrib><creatorcontrib>KAUL, Matthew P</creatorcontrib><creatorcontrib>DRYDEN, John D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of physical medicine & rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>PAGEL, Keith J</au><au>KAUL, Matthew P</au><au>DRYDEN, John D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lack of utility of Semmes-Weinstein monofilament testing in suspected carpal tunnel syndrome</atitle><jtitle>American journal of physical medicine & rehabilitation</jtitle><addtitle>Am J Phys Med Rehabil</addtitle><date>2002-08-01</date><risdate>2002</risdate><volume>81</volume><issue>8</issue><spage>597</spage><epage>600</epage><pages>597-600</pages><issn>0894-9115</issn><eissn>1537-7385</eissn><abstract>To investigate the value of Semmes-Weinstein monofilament (SWM) testing in patients with electrodiagnostically confirmed carpal tunnel syndrome in a group of patients with symptoms compatible with carpal tunnel syndrome.
A total of 119 consecutive patients with symptoms compatible with carpal tunnel syndrome were assessed. Blinded comparison of two Semmes-Weinstein monofilament testing protocols with orthodromic midpalm electrodiagnostic testing was performed. The electrodiagnostic test was considered the standard to which the results of the Semmes-Weinstein monofilament testing were measured.
Fifty three percent of our patients had electrodiagnostically confirmed carpal tunnel syndrome. Using a conservative Semmes-Weinstein monofilament testing protocol the sensitivity was 98% and the specificity was 15%. The positive predictive value was 56% and the negative predictive value was 88%. Using a liberal Semmes-Weinstein monofilament testing protocol the sensitivity was 13% and the specificity was 88%. The positive predictive value was 53% and the negative predictive value was 47%.
Semmes-Weinstein monofilament testing was not shown to have utility in diagnosing electrodiagnostically confirmed carpal tunnel syndrome in our population of predominantly male veterans.</abstract><cop>Baltimore, MD</cop><pub>Lippincott</pub><pmid>12172069</pmid><doi>10.1097/00002060-200208000-00007</doi><tpages>4</tpages></addata></record> |
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| ispartof | American journal of physical medicine & rehabilitation, 2002-08, Vol.81 (8), p.597-600 |
| issn | 0894-9115 1537-7385 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Aged Biological and medical sciences Carpal Tunnel Syndrome - diagnosis Diagnostic Techniques, Neurological - instrumentation Female Humans Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Nervous system Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques Predictive Value of Tests Sensitivity and Specificity |
| title | Lack of utility of Semmes-Weinstein monofilament testing in suspected carpal tunnel syndrome |
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