Enhancing Carpal Tunnel Syndrome Diagnosis: The Combined Use of CTS-6 and Ultrasound Measured Median Nerve CSA

Combining the CTS-6 and median nerve CSA offers the most accurate method for diagnosing CTS. A lower cutoff value (27.68 vs. 31.25) improved the sensitivity of the combined score, demonstrating a strong diagnostic performance for CTS as a screening tool. Alternatively, using the PLR-optimized cutoff (34.08), this becomes a highly specific confirmatory test.

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Journal
Hand
Published
2026-01-25
DOI
https://doi.org/10.1177/15589447251411545
Primary Topic
Peripheral Nerve Disorders
Type
article
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article

Enhancing Carpal Tunnel Syndrome Diagnosis: The Combined Use of CTS-6 and Ultrasound Measured Median Nerve CSA

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Hand
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Enhancing Carpal Tunnel Syndrome Diagnosis: The Combined Use of CTS-6 and Ultrasound Measured Median Nerve CSA

Stacia Ruse, Michael Niemann, John P. Fowler, Rachel Hyzny, Jenna L Dvorsky, Christopher Gonzalez
article en

Abstract

Combining the CTS-6 and median nerve CSA offers the most accurate method for diagnosing CTS. A lower cutoff value (27.68 vs. 31.25) improved the sensitivity of the combined score, demonstrating a strong diagnostic performance for CTS as a screening tool. Alternatively, using the PLR-optimized cutoff (34.08), this becomes a highly specific confirmatory test.

Hand
University of Pittsburgh (US)
Openalex Percentile: Top 79%
Peripheral Nerve Disorders
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