Durkan's test

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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

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

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

Durkan's test is more sensitive than Tinel's sign and Phalen maneuver.[4]

References

  1. 1.0 1.1 Robert R. Slater, Jr; . M.D. (1999), Carpal Tunnel Syndrome: Current Concepts, retrieved 2010-05-04<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
  2. 2.0 2.1 Carpal Compression Test, 2008, retrieved 2010-05-04<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
  3. 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, retrieved 2010-05-04<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
  4. Durkan, J.A. (1991), "A new diagnostic test for carpal tunnel syndrome", The Journal of Bone and Joint Surgery, 73 (4): 535–538, retrieved 2010-05-04<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>

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