Diagnostic distribution of non-traumatic XXXX : vibrotactile sense in the evaluation of structured examination for optimal diagnostic criteria.

@entity1 @entity16045 @entity2826 @entity16 @entity3140 @entity1897 @entity2633 @entity121
BACKGROUND: @entity3140 ( @entity3140 ) are common, and so are the difficulties in specific diagnoses of these disorders. Prior studies have shed light on the nerves in the diagnostic approach beside disorders related to @entity121 ( @entity121 ). OBJECTIVE: The study aimed to compare the distribution of @entity3140 , and the vibration perception threshold (VPT) in different diagnostic groups according to 1) A-criteria: the SALTSA consensus criteria, including @entity121 and four @entity1897 , and 2) B-criteria: including @entity121 and 10 different @entity16 diagnoses--re-defined in an attempt to refine diagnostic criteria of @entity1897 in respect of different @entity121 ; and further to discuss the impact of the presented criteria. METHODS: 161 @entity1 --recruited from 21 general practitioners--were examined by the same examiner according to the two sets of diagnostic criteria. VPT measurements were conducted in all @entity1 . RESULTS: Three @entity1 did not fulfill the criteria of any @entity16045 diagnosis. A/B criteria were fulfilled for 181/183 upper limbs, respectively, out of which 29.3%/163.3% were @entity16 diagnoses alone, 23.8%/10.9% @entity2826 alone, and 46.9%/25.7% were categorized as @entity16 in combination with @entity2826 diagnoses. The overall agreement on presence of @entity16 was high (75%), but on focal level there was a large discrepancy. According to the A-criteria, @entity1 with symptoms located at wrist and shoulder were primarily defined with wrist diagnoses, and only few had concomitant shoulder diagnoses. In contrast, the B-criteria primarily defined @entity16 located at the shoulder, often concomitantly with @entity16 of the radial and the median nerve at the elbow, but seldom at the wrist level. In @entity121 defined by both sets of criteria--Rotator cuff syndrome and medial/ @entity2633 --the A-criteria defined more @entity121 than the B-criteria, the B diagnoses typically constituted only a part of the A diagnoses and additionally defined @entity16 . The B-criteria showed more significant VPT findings than the A-criteria concerning the discrimination between limbs with and contralateral limbs without diagnoses as well as between diagnostic groups with and without @entity16 . CONCLUSIONS: The VPT findings suggest the B-criteria to be superior to A-criteria for differentiating between @entity1 with and without @entity16 . This study shows that @entity16 is extensive in @entity3140 when specific diagnostic criteria are used. Additionally it suggests the importance of a critical revision of the current diagnostic criteria of @entity16 , and the differential diagnoses concerning the @entity121 . Management and prevention is highly dependent on correct diagnoses.
