
Cumulative Trauma Disorders of the Upper Extremities-Reply
David M. Rempel, MD;
Robert J. Harrison, MD
University of California San Francisco
Scott Barnhart, MD
University of Washington Seattle
JAMA. 1992;268(6):787-788.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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In Reply.
—Dr Bohr's detailed comments on diagnostic methods for various entrapment neuropathies are welcome. More research is needed and is being directed at the diagnostic methods and management of these disorders, but much remains unknown. We attempted to draw conclusions that would help the general practitioner.
We agree with Dr Bohr that it is probably best to use either the term "ulnar neuropathy at the elbow" or "ulnar nerve entrapment at the elbow" rather than the more specific and more widely used term "cubital tunnel syndrome." There are several causes of ulnar nerve entrapments at the elbow; entrapment at the cubital tunnel is one.1 Pronator syndrome should not be considered a wastebasket diagnosis. It occurs, but accurate diagnosis of this condition is not easy.1
The diagnostic tests for CTS or cervical root syndromes were not proposed to be used in isolation in a clinical evaluation. No single
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