TEST | Sensitivity (95% CI) | Specificity (95% CI) | LR + / LR − | PV (+) / PV (−)* |
---|---|---|---|---|
Phalen | 51.4% (43.2–59.6) | 75.6% (66.5 – 84.7) | 2.11 (1.40 – 3.16) / 0.64 (0.52 – 0.79) | 26/91, 78/48 |
Hoffman-Tinel | 23.2% (16.3 – 30.2) | 87.2% (80.2 – 94.3) | 1.82 (0.97 – 3.4) / 0.88 (0.78 – 0.99) | 23/87, 76/40 |
Hypesthesia | 51.4% (43.2 – 59.6) | 84.9% (77.3 – 92.5) | 3.40 (2.01 – 5.75) / 0.57 (0.47 – 0.69) | 36/91, 85/51 |
APB weakness | 66.2% (58.4 – 74.0) | 66.3% (56.3 – 76.3) | 1.96 (1.43 – 2.70) / 0.51 (0.39 – 0.67) | 24/92, 77/54 |
Median nerve compression | 28.2% (20.8 – 35.6) | 74.4% (65.2 – 83.6) | 1.10 (0.70 – 1.72) / 0.97 (0.82 – 1.13) | 15/86, 65/38 |
Square-shaped wrist | 69.0% (61.4 – 76.6) | 73.3% (63.9 – 82.6) | 2.58 (1.79 – 3.72) / 0.42 (0.32 – 0.56) | 30/94, 81/58 |
PPV and NPV calculated for 2 different pre-test probabilities: 14% from CTS prevalence in DM study, 63% from CTS in patients referred for NCS studies for possible CTS.