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Wrist Physical Exam

   Durkins compression test
  • Most sensitive test for carpal tunnel syndrome
  • Apply direct compression of median nerve at the carpal tunnel
  • Postive test = paresthesias in median nerve distribution within 30 seconds.
  • Indicates: Carpal Tunnel syndrome ,
  Phalens test
  • hands held in forced maximum flexion for 60 seconds,
  • Positive test = numbness or tingling in radial digits within 60 seconds
  • Indicates: Carpal Tunnel syndrome .  Sensitivity =40-88%, Specificity = 81% (Kuschner SH,  Orthopedics 1992;15:1297).
  Allen's Test