Durkan's test
| Durkan's test | |
|---|---|
| Purpose | diagnose carpal tunnel syndrome. |
Durkan's test is a medical procedure to diagnose a patient with carpal tunnel syndrome. It is a new variation of Tinel's sign that was proposed by JA Durkan in 1991.[1]
Process
[edit]Examiner presses thumbs over carpal tunnel and holds pressure for 30 seconds.[2] An onset of pain or paresthesia in the median nerve distribution within 30 seconds is a positive result of the test.[1]
Accuracy
[edit]In studies of diagnostic accuracy, the sensitivity of Durkan's test ranged from 87% to 91% and its specificity from 90% to 95%.[2][3]
Comparison
[edit]Durkan's test is more sensitive than Tinel's sign and Phalen maneuver.[4]
References
[edit]- ^ a b Robert R. Slater, Jr; . M.D. (1999), Carpal Tunnel Syndrome: Current Concepts, retrieved 2010-05-04
- ^ a b Carpal Compression Test, 2008, retrieved 2010-05-04
- ^ González Del Pino, J.; Delgado-Martínez, A. D.; González González, I.; Lovic, A. (1997), "Value of the Carpal Compression Test in the Diagnosis of Carpal Tunnel Syndrome", Journal of Hand Surgery (British and European Volume), 22 (1): 38–41, doi:10.1016/s0266-7681(97)80012-5, PMID 9061521, S2CID 25924364, retrieved 2010-05-04
- ^ Durkan, J.A. (1991), "A new diagnostic test for carpal tunnel syndrome", The Journal of Bone and Joint Surgery, 73 (4): 535–538, doi:10.2106/00004623-199173040-00009, PMID 1796937, archived from the original on 2010-03-05, retrieved 2010-05-04