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Phalen’s test - in carpal tunnel syndrome suspicion | In sindromul de tunel carpian

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Published on Jun 23, 2016

Carpal Tunnel Syndrome Provocative Tests:
Phalen’s test is a provocative maneuver used in diagnosis of carpal tunnel syndrome, considered a positive test result when the patient accuse tingling and numbness in the fingers or hand pain.
Phalen’s test description:
The wrists are fixed in 90 degree flexion with the dorsal surfaces of the hands pushed together for 60 seconds.
The maneuver increases the pressure upon the median nerve (major peripheral nerve of the upper limb).
If the symptoms as numbness and tingling exacerbates, conveys a positive test result and suggests carpal tunnel syndrome.In this case, additional investigations should be performed (electromyography, ecography, etc)
The proper knowledge and usage of the clinical hand tests helps both the GP (General Practitioner) and the physician in establishing the right diagnosis and sending the patient a hand specialist.
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Testul Phalen se efectueaza in suspiciunea sindromului de tunel carpian, adica daca pacientul acuza furnicaturi si amorteli in degetele mainii sau durere la mana.
Descrierea testului Phalen
Fetele dorsale ale mainilor sunt presate la 90 grade timp de 60 sec.
In acest timp se realizeaza o accentuare a compresiei pe nervul median (nerv periferic membru superior - mana)
Daca se exacerbeaza amorteala si furnicaturile se ridica suspiciunea de Sindrom de tunel carpian (canal carpian). In acest caz sunt necesare investigatii suplimentare (electromiografie, ecografie, etc).
Cunoasterea si folosirea corespunzatoare a testelor in evaluarea mainii ajuta atât medicul de familie căt și de alta specialitate sa stabileasca un diagnostic corect si eventual să directioneze corect o patologie specifica segmentului mana - antebrat.

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