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Durkan's test

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Medical diagnostic method
Durkan's test
Purposediagnose 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.

Process

Examiner presses thumbs over carpal tunnel and holds pressure for 30 seconds. An onset of pain or paresthesia in the median nerve distribution within 30 seconds is a positive result of the test.

Accuracy

In studies of diagnostic accuracy, the sensitivity of Durkan's test ranged from 87% to 91% and its specificity from 90% to 95%.

Comparison

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

References

  1. ^ Robert R. Slater, Jr; . M.D. (1999), Carpal Tunnel Syndrome: Current Concepts, retrieved 2010-05-04
  2. ^ Carpal Compression Test, 2008, retrieved 2010-05-04
  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, doi:10.1016/s0266-7681(97)80012-5, PMID 9061521, S2CID 25924364, retrieved 2010-05-04
  4. 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
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