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Closed Fist Sign
From WikiSM
Other Names
- Closed-Fist Sign
Purpose
- Evaluate wrist pain by attempting to reproduce symptoms of carpal tunnel syndrome
Description
- Patient is seated or standing
- Patient is asked to flex hand into a closed fist for 60 seconds
- Positive test:
- Paresthesias in the median nerve distribution
Pathology
Evidence
- De Smet et al[1]
- Sensitivity: 61%
- Specificity: 92%
- LR+: 7.3
- LR-: 0.4
See Also
References
- ↑ De Smet L, Steenwerckx A, Van den Bogaert G, Cnudde P, Fabry G. Value of clinical provocative tests in carpal tunnel syndrome. Acta Orthop Belg. 1995;61(3):177-82. Review. PubMed PMID: 8525813.
Created by:
John Kiel on 10 October 2019 15:09:41
Authors:
Last edited:
25 March 2023 08:15:12
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