OBJECTIVE To determine the utility of the flick maneuver (flicking motion of hands and wrists when most symptomatic) in the clinical evaluation of carpal tunnel syndrome (CTS). DESIGN Review of standardized data collection on 142 subjects referred for electrodiagnostic evaluation of possible CTS at a university hospital electrodiagnostic clinic. Subjects were first clinically evaluated with t...

Electrodiagnostic testing is often used in the evaluation of patients presenting with weakness, but the diagnostic accuracy of the test in this setting is unknown. We prospectively identified 100 patients presenting to our electromyography (EMG) laboratory with the chief complaint of weakness, and compared their referring diagnosis with the electrophysiological diagnosis reached after electrodi...

BACKGROUND There is no clear-cut consensus on the best diagnostic criteria for carpal tunnel syndrome. The objective of this study was to compare the probability of carpal tunnel syndrome being present following electrodiagnostic testing with the probability of it being present after the diagnosis was established on the basis of a clinical evaluation alone. METHODS The study sample included p...

The evaluation of patients with suspected lumbar radiculopathy is one of the most common reasons patients are referred for electrodiagnostic testing. The utility of this study depends on the expertise of the physician who plans, performs, and completes the study. This article reviews the strengths and weaknesses of electrodiagnosis to make this diagnosis, as well as the clinical reasoning of ap...

Type 2 superior labral anterior to posterior (SLAP) lesion is a common cause of shoulder pain requiring surgical operation. SLAP tears are often associated with paralabral cysts, but they rarely cause nerve compression. However, we experienced two cases of type 2 SLAP-related paralabral cysts at the spinoglenoid notch which were confirmed as isolated nerve entrapment of the infraspinatus branch...

Needle electromyography (EMG) and nerve conduction studies (NCSs) performed by a physician (MD or DO) with the appropriate education, training, and experience are used to evaluate patients with neuromuscular (NM) diseases and diagnose the presence, distribution, and severity of nerve, NM junction, and muscle pathology.1 After needle EMG and NCSs studies are completed, it is necessary to prepare...

(1) Background: Carpal tunnel syndrome (CTS), a compressive mononeuropathy of the median nerve at wrist, is rare in childhood and occurs most frequently due to secondary causes. (2) Methods: Medical history, electrodiagnostic findings, imaging data patients with CTS from two pediatric neuromuscular centers were analyzed retrospectively. The etiology was investigated compared literature. (3) Res...

A 25-year-old man with acute, bilateral facial palsies is presented. He had a lymphocytic meningitis, history of tick bites, and lived in an area endemic for Lyme disease, which was ultimately confirmed by serology. Electrodiagnostic investigation included facial motor nerve study, blink reflex and electromyography of facial muscles, which were indicative of a neurapraxic lesion on the right an...