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CTS-6 Evaluation Tool
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CTS-6 Evaluation Tool
, Carpal Tunnel Syndrome Six Item Evaluation Tool
See Also
Carpal Tunnel Syndrome
Indications
Carpal Tunnel Syndrome
Evaluation
Background
Median Nerve
sensory distribution image
Criteria
Score: 3.5: Numbness primarily in the
Median Nerve
distribution (volar thumb, index, middle, ring fingers)
Score 4.0: Nocturnal numbness often interfering with sleep (or awakening patient from sleep)
Score 5.0: Thenar atrophy or weakness (<=4/5)
Score 5.0: Phalen Test Positive
Score: 4.0:
Tinel Sign
Positive
Score 4.5: Loss of 2 point discrimination (<=5 mm apart) in a
Median Nerve
distribution
Interpretation
Total score (tallied from 6 criteria above) >=12 suggests
Carpal Tunnel Syndrome
References
Atroshi (2011) J Hand Surg Am 36(5):788-94 +PMID: 21527135 [PubMed]
Grandizio (2022) J Hand Surg Am 47(6):501-6 +PMID: 35260242 [PubMed]
Wipperman (2024) Am Fam Physician 110(1): 52-57 [PubMed]
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