Durkans Test
Other Names
- Durkan's Test
- Durkin's Test
- Median Nerve Compression Test
- Carpal Tunnel Compression Test
- Carpal Compression Test
- Manual Carpal Compression Test (MCCT)
- Duran's Test
Purpose
- Apply compression to Median Nerve to evaluate as etiology patients symptoms
Description
- Patient is seated or standing
- Apply sufficient pressure over the carpal tunnel to cause skin blanching (≥30 sec)
- Positive test:
- Recreation of pain or paresthesias
Modified Durkan's
- Involves the use of equipment
- Firm plastic board (7 × 11 cm) with a central round-edged rectangular piece (3 × 6 cm)
- Sized to cover the volar wrist and apply pressure over the median nerve beneath the flexor retinaculum
- Incorporated into a blood pressure cuff, linked to a mercurial sphygmomanometer
- Inflate the blood pressure cuff to 150 mm Hg for 30 seconds
- Positive test
- Reproduction of symptoms
Pathology
Evidence
- Gonzalez et al[4]
- Sensitivity: 87%
- Specificity: 95%
- De Smet et al[5]
- Sensitivity: 62%
- Specificity: 95%
- PPV: 89%
- NPV: 79%
See Also
References
- ↑ Zhang, Dafang, et al. "Accuracy of Provocative Tests for Carpal Tunnel Syndrome." Journal of Hand Surgery Global Online 2.3 (2020): 121-125.
- ↑ Ablove, Robert H., and Tova S. Ablove. "Prevalence of carpal tunnel syndrome in pregnant women." Wisconsin Medical Journal (WMJ) 108.4 (2009): 194.
- ↑ Qadir, Mahdi K., and Samih K. Hasan Kalwuri. "Value of Modified Duran’s Test in Clinical Diagnosis of Carpal Tunnel Syndrome." Polytechnic Journal 11.1 (2021): 1.
- ↑ Gonzalez Del Pino, J., et al. "Value of the carpal compression test in the diagnosis of carpal tunnel syndrome." Journal of Hand Surgery 22.1 (1997): 38-41.
- ↑ 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 16 July 2019 19:31:49
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Last edited:
2 October 2025 14:53:58
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