Evaluation of Common Problems in Persons Referred for EDX-Dr. Robinson - Evaluation of Common Problems in Persons Referred for EDX

Dr. Robinson - Evaluation of Common Problems in Persons Referred for EDX

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This document provides information on Carpal Tunnel Syndrome (CTS) and Ulnar Neuropathy at the elbow. The author discusses their understanding of CTS over the past 35 years and the evolving complexity of testing and interpreting results. The best electrodiagnostic testing for CTS should be specific, sensitive, reliable, resistant to temperature effects, and have an efficient protocol. Three sensory tests for CTS are mentioned - Med-Uln to Ring, Med-Rad to Thumb, and Med-Uln across Palm.<br /><br />The Combined Sensory Index (CSI) is introduced as a measure for diagnosing CTS. The author recommends handling false positives by combining results into one number. The CSI is not affected by temperature. The document also mentions the importance of motor conduction testing and the need to consider Martin-Gruber anastomosis. The author provides recommendations for conducting ulnar nerve studies, including using specific recording sites and stimulation sites.<br /><br />Various topics related to ulnar neuropathy at the elbow are discussed, such as the importance of motor NCS, inching studies, needle EMG, and predicting recovery outcomes. The document concludes with instructions for claiming Continuing Medical Education (CME) credits and providing feedback on the presentation.<br /><br />Overall, this document covers a range of topics related to CTS and ulnar neuropathy, including diagnostic testing, conducting studies, interpreting results, and predicting outcomes. It provides valuable information for professionals in the field.

Keywords

Carpal Tunnel Syndrome

Ulnar Neuropathy

electrodiagnostic testing

sensory tests

Combined Sensory Index

motor conduction testing

ulnar nerve studies

inching studies

needle EMG

recovery outcomes

CTS