Phil B.FontanarosaMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor
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.
Stark RH. Clinical Diagnosis of Carpal Tunnel Syndrome. JAMA. 2000;283(8):1000-1003. doi:10.1001/jama.283.8.999