Diagnostic Dilemmas in Carpal Tunnel Syndrome and Cervical Spine Disorders: A Comprehensive Review
Carpal tunnel syndrome (CTS) and cervical spondylosis (CS) are both common diseases, yet differentiation between the two is sometimes necessary. However, there are few evidence-based reviews on the differentiation of these conditions. This review examined the literature on the diagnosis of CTS and C...
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MDPI AG
2025-01-01
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| author | Yuki Hara Yuichi Yoshii |
| author_facet | Yuki Hara Yuichi Yoshii |
| author_sort | Yuki Hara |
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| description | Carpal tunnel syndrome (CTS) and cervical spondylosis (CS) are both common diseases, yet differentiation between the two is sometimes necessary. However, there are few evidence-based reviews on the differentiation of these conditions. This review examined the literature on the diagnosis of CTS and CS, focusing on how to distinguish between them. The analysis is divided into four categories: clinical symptoms, physical examination, diagnostic imaging, and electrodiagnosis. A total of 281 studies are reviewed, revealing a major issue: the inclusion criteria for defining each disease varies widely across studies. Understanding this limitation, the conclusion drawn is that no single clinical symptom, test, or imaging evaluation can be deemed uniquely reliable for diagnosing CTS or CS. Therefore, it is essential to apply the most up-to-date knowledge, conduct thorough examinations, and perform necessary tests for each patient to achieve a confident and accurate diagnosis. |
| format | Article |
| id | doaj-art-5b8cba6aaecf471f8a9f1d8e29eb6eb2 |
| institution | Kabale University |
| issn | 2075-4418 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj-art-5b8cba6aaecf471f8a9f1d8e29eb6eb22025-01-24T13:28:48ZengMDPI AGDiagnostics2075-44182025-01-0115212210.3390/diagnostics15020122Diagnostic Dilemmas in Carpal Tunnel Syndrome and Cervical Spine Disorders: A Comprehensive ReviewYuki Hara0Yuichi Yoshii1Department of Orthopedic Surgery, National Center of Neurology and Psychiatry, Kodaira 187-8551, Tokyo, JapanDepartment of Orthopedic Surgery, Tokyo Medical University Ibaraki Medical Center, Ami 300-0395, Ibaraki, JapanCarpal tunnel syndrome (CTS) and cervical spondylosis (CS) are both common diseases, yet differentiation between the two is sometimes necessary. However, there are few evidence-based reviews on the differentiation of these conditions. This review examined the literature on the diagnosis of CTS and CS, focusing on how to distinguish between them. The analysis is divided into four categories: clinical symptoms, physical examination, diagnostic imaging, and electrodiagnosis. A total of 281 studies are reviewed, revealing a major issue: the inclusion criteria for defining each disease varies widely across studies. Understanding this limitation, the conclusion drawn is that no single clinical symptom, test, or imaging evaluation can be deemed uniquely reliable for diagnosing CTS or CS. Therefore, it is essential to apply the most up-to-date knowledge, conduct thorough examinations, and perform necessary tests for each patient to achieve a confident and accurate diagnosis.https://www.mdpi.com/2075-4418/15/2/122carpal tunnel syndromecervical radiculopathycervical spondylotic myelopathydifferentiation diagnosis |
| spellingShingle | Yuki Hara Yuichi Yoshii Diagnostic Dilemmas in Carpal Tunnel Syndrome and Cervical Spine Disorders: A Comprehensive Review Diagnostics carpal tunnel syndrome cervical radiculopathy cervical spondylotic myelopathy differentiation diagnosis |
| title | Diagnostic Dilemmas in Carpal Tunnel Syndrome and Cervical Spine Disorders: A Comprehensive Review |
| title_full | Diagnostic Dilemmas in Carpal Tunnel Syndrome and Cervical Spine Disorders: A Comprehensive Review |
| title_fullStr | Diagnostic Dilemmas in Carpal Tunnel Syndrome and Cervical Spine Disorders: A Comprehensive Review |
| title_full_unstemmed | Diagnostic Dilemmas in Carpal Tunnel Syndrome and Cervical Spine Disorders: A Comprehensive Review |
| title_short | Diagnostic Dilemmas in Carpal Tunnel Syndrome and Cervical Spine Disorders: A Comprehensive Review |
| title_sort | diagnostic dilemmas in carpal tunnel syndrome and cervical spine disorders a comprehensive review |
| topic | carpal tunnel syndrome cervical radiculopathy cervical spondylotic myelopathy differentiation diagnosis |
| url | https://www.mdpi.com/2075-4418/15/2/122 |
| work_keys_str_mv | AT yukihara diagnosticdilemmasincarpaltunnelsyndromeandcervicalspinedisordersacomprehensivereview AT yuichiyoshii diagnosticdilemmasincarpaltunnelsyndromeandcervicalspinedisordersacomprehensivereview |