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February 23, 2000

Clinical Diagnosis of Carpal Tunnel Syndrome

Author Affiliations

Phil B.FontanarosaMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor

JAMA. 2000;283(8):1000-1003. doi:10.1001/jama.283.8.999

To the Editor: In their Editorial, Drs Franzblau and Werner1 have painted a picture of extreme diagnostic confusion surrounding the diagnosis of CTS. As a board certified hand surgeon with 15 years of clinical experience, I find that carpal tunnel syndrome is a straightforward clinical syndrome in most patients. It is not difficult to make the diagnosis in the patient with the classic presentation. The American Society for Surgery of the Hand has published guidelines for the diagnosis and treatment of this condition.2 Articles such as the one by Franzblau and Warner can lead one to conclude that there is a great deal of confusion in making the diagnosis of CTS.

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