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February 23, 2000

Clinical Diagnosis of Carpal Tunnel Syndrome—Reply

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

In Reply: As Dr Cosgrove notes, persons with bilateral symptoms were diagnosed with clinically certain CTS if the diagnosis was made in 1 or both hands. Similarly, the diagnosis of median neuropathy was made if the nerve conduction testing result was abnormal in 1 or both hands. The diagnosis of clinically and electrophysiologically confirmed CTS required clinically certain CTS and median neuropathy in the same hand. The diagnosis of clinically certain CTS was not based entirely on the presence or absence of physical findings; the history (ie, symptom characteristics) was also important.

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