| Guideline | Resources |
| Carpal Tunnel Syndrome in Adults | AAOS Appropriate Use Criteria |
Key Points
Use CTS-6 Score/Katz Hand Diagram as part of diagnostic eval. Physical signs (eg, Phalen Tinel, Flick) each used alone has poor/weak association for ruling in/out CTS. Access the AAOS Appropriate Use Criteria
Choose Patient Type
|
American Academy of Orthopaedic Surgeons. Management of Carpal Tunnel Syndrome: Evidence-based Clinical Practice Guideline. Published February 29, 2016.
Epocrates Guideline Synopsis Last Update:
Nov 27, 2023
Publication Year:
2017
Source:
AAOS
- American Academy of Orthopaedic Surgeons
Endorsed By:
American Society for Surgery of the Hand, American Society of Plastic Surgeons, American College of Radiology, American College of Surgeons
Recommendation Strength
| [S] | Strong (≥2 high-strength studies w/ consistent findings) |
| [M] | Moderate (≥2 mod-strength studies w/ consistent findings or 1 high-quality study) |
| [L] | Limited (≥2 low-strength studies w/ consistent findings or 1 mod-strength study; or insufficient/conflicting evidence) |
| [C] | Consensus opinion in absence of reliable evidence |
Abbreviations
| AAOS | American Academy of Orthopaedic Surgeons |
| AUC | Appropriate Use Criteria |
| CTS | carpal tunnel syndrome |
| DM | diabetes mellitus |
| HRT | hormone replacement tx |
| NCS | nerve conduction study |
| ULNT | upper limb neurodynamic/nerve tension test |
Recommendation Strength
| S | = | Strong (≥2 high-strength studies w/ consistent findings) |
| M | = | Moderate (≥2 mod-strength studies w/ consistent findings or 1 high-quality study) |
| L | = | Limited (≥2 low-strength studies w/ consistent findings or 1 mod-strength study; or insufficient/conflicting evidence) |
| C | = | Consensus opinion in absence of reliable evidence |