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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: Dr Atroshi and colleagues1 reported on the population prevalence of carpal tunnel syndrome (CTS), but their methods and conclusions raise 3 questions.

First, this study addresses patients not hands. Surely there was not 100% concordance between symptoms, physical signs, and nerve conduction studies between the patient's hands. How did the authors analyze data for a patient with bilateral symptoms but unilateral physical findings or nerve conduction studies?

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