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Appropriate Use Criteria
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Appropriate Use Criteria
2020-01-08T18:06:15+00:00
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GUIDELINE
APPROPRIATE USE CRITERIA: CARPAL TUNNEL SYNDROME: MANAGEMENT (2016)
INDICATION PROFILE
CTS Diagnostic Likelihood based on Clinical Examination - Click the "I" to the right to evaluate likelihood of CTS
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CTS-6 and Katz Hand Diagram Diagnosis Tools
Low Probability of CTS
Moderate Probability of CTS
High Probability of CTS
Electrodiagnostic Testing History
No Electrodiagnostic testing performed
Electrodiagnostic testing not consistent with carpal tunnel syndrome
Electrodiagnostic testing consistent with a mild median mononeuropathy at the wrist
Electrodiagnostic testing consistent with a moderate median mononeuropathy at the wrist
Electrodiagnostic testing consistent with a severe median mononeuropathy at the wrist
Clinical Severity
Low Severity (examples: nighttime pain/sensory disturbances, and/or episodic/infrequent symptoms)
Moderate Severity (examples: pain/sensory disturbances, tingling, frequent activity-related symptoms, and/or difficulty with fine motor coordination)
High Severity (examples: constant sensory loss, motor clinical findings such as muscle weakness, and/or thenar atrophy)
Response to Previous Treatment
No previous non-operative treatment for CTS
Positive response to non-operative treatment and subsequent recurrence of symptoms
Failure to respond to non-operative treatment
PROCEDURE RECOMMENDATIONS
Treatment recommendations are not available for this patient scenario.
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