scholarly journals Association of clinically relevant carpal tunnel syndrome with type of work and level of education: a general-population study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kamelia Möllestam ◽  
Martin Englund ◽  
Isam Atroshi
Keyword(s):  
Carpal Tunnel Syndrome ◽  
General Population ◽  
Carpal Tunnel ◽  
Work Load ◽  
Education Level ◽  
National Database ◽  
General Population Study ◽  
Level Of Education ◽  
Tunnel Syndrome ◽  
High Level

AbstractCarpal tunnel syndrome (CTS) is a common cause of work disability. The association with occupational load and education level has not been established in general-population studies. The purpose of this study was to investigate the association of clinically relevant CTS with work and education. From the Healthcare Register of Skane region (population 1.2 million) in southern Sweden we identified all individuals, aged 17–57 years, with first-time physician-made CTS diagnosis during 2004–2008. For each case we randomly sampled 4 referents, without a CTS diagnosis, from the general population matched by sex, age, and residence. We retrieved data about work and education from the national database. The study comprised 5456 individuals (73% women) with CTS and 21,667 referents. We found a significant association between physician-diagnosed CTS and type of work and level of education in both women and men. Compared with white-collar workers, the odds ratio (OR) for CTS among blue-collar workers was 1.67 (95% CI 1.54–1.81) and compared with light work, OR in light-moderate work was 1.37 (1.26–1.50), moderate work 1.70 (1.51–1.91), and heavy manual labor 1.96 (1.75–2.20). Compared with low-level education, OR for CTS in intermediate level was 0.82 (0.76–0.89) and high-level 0.48 (0.44–0.53). In women and men there is significant association with a dose–response pattern between clinically relevant CTS and increasing manual work load and lower education level. These findings could be important in design and implementation of preventive measures.

PREVALENCE OF CARPAL TUNNEL SYNDROME IN WORKERS FROM A FISHNET FACTORY IN THAILAND

Hand Surgery ◽  
2005 ◽  
Vol 10 (01) ◽  
pp. 67-70 ◽  
Author(s):  
Surut Jianmongkol ◽  
Weerachai Kosuwon ◽  
Ekamol Thumroj ◽  
Sermsak Sumanont
Keyword(s):  
Risk Factors ◽  
At Risk ◽  
Carpal Tunnel Syndrome ◽  
General Population ◽  
Carpal Tunnel ◽  
Odds Ratio ◽  
Office Workers ◽  
Tunnel Syndrome ◽  
Associated Risk Factors

We determined the prevalence of carpal tunnel syndrome (CTS) at a fishnet factory in order to discern the possible associated risk factors at this type of workplace. The 662 workers were interviewed then physically examined. The prevalence of CTS was 14.5%, which is significantly higher than in the general population. Workers directly involved in the production of fishnets had a significantly higher risk of CTS than the factory's office workers or housemaids (odds ratio = 1.84; range, 1.03–3.29; 95% CI, p = 0.049). There was no association between the length of employment in the factory with CTS (odds ratio = 1.13; range, 0.77–1.66; 95% CI, p = 0.591). Our results confirm that factory jobs with repetitive hyperflexing and twisting of the wrists are at risk of CTS.

scholarly journals Attributable risk of carpal tunnel syndrome according to industry and occupation in a general population

2008 ◽  
Vol 59 (9) ◽  
pp. 1341-1348 ◽  
Author(s):  
Yves Roquelaure ◽  
Catherine Ha ◽  
Guillaume Nicolas ◽  
Marie-Christine Pélier-Cady ◽  
Camille Mariot ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
General Population ◽  
Carpal Tunnel ◽  
Attributable Risk ◽  
Tunnel Syndrome

Lamb boning — an occupational cause of carpal tunnel syndrome?

2012 ◽  
Vol 38 (1) ◽  
pp. 61-66 ◽  
Author(s):  
M. C. Wyatt ◽  
D. P. Gwynne-Jones ◽  
G. A. Veale
Keyword(s):  
Carpal Tunnel Syndrome ◽  
General Population ◽  
Incidence Rate ◽  
Carpal Tunnel ◽  
Incidence Rates ◽  
Tunnel Syndrome ◽  
Rate Ratios

Whether an occupation can cause carpal tunnel syndrome requiring carpal tunnel decompression (CTD) is contentious. We compared the demographics and incidence rates in lamb-freezing workers with the general population who had CTD. In the general population there were 1002 (63%) females and 583 (37%) males, mean age 48 years, and the rate of CTD was 1.36/1000 per annum. In lamb-freezing workers there were 225 males (mean age 38.4 years) and 60 females (mean age 44.6 years); most workers required CTD in their first three seasons. Compared with the general population, the incidence rate ratios in all freezing workers was 16.8; boners, 51.6; meat packers, 22.8; and slaughtermen, 5.4. All groups had a greater rate of CTD than the general population. This study suggests that carpal tunnel syndrome can be directly caused by an occupation.

AN UNCOMMON CAUSE FOR A COMMON COMPLAINT

Hand Surgery ◽  
2009 ◽  
Vol 14 (02n03) ◽  
pp. 131-134 ◽  
Author(s):  
P. A. Rust ◽  
T. Bennett
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Extensive Review ◽  
Common Condition ◽  
Mycobacterium Kansasii ◽  
Review Of The Literature ◽  
Common Complaint ◽  
Carpal Tunnel Surgery ◽  
Tunnel Syndrome ◽  
High Level

Infective tenosynovitis is an uncommon cause of a common condition namely carpal tunnel syndrome. Following an extensive review of the literature, we report what we understand to be the first published case of Mycobacterium kansasii (M. kansasii) causing tenosynovitis of flexor tendons resulting in carpal tunnel syndrome in Australia. Our case highlights the need for a high level of suspension, histology and appropriate culture with specific microbiological tests for atypical mycobacteria where tenosynovitis is present at carpal tunnel surgery, even in patients who do not appear to have risk factors.

scholarly journals Carpal tunnel syndrome in acromegaly: a nationwide study

2021 ◽  
Vol 184 (2) ◽  
pp. 209-216
Author(s):  
Konstantina Vouzouneraki ◽  
Daniela Esposito ◽  
Sebastian Mukka ◽  
Daniel Granfeldt ◽  
Oskar Ragnarsson ◽  
...  
Keyword(s):  
Cohort Study ◽  
Carpal Tunnel Syndrome ◽  
General Population ◽  
Carpal Tunnel ◽  
Temporal Relationship ◽  
Diagnostic Delay ◽  
Swedish Population ◽  
Nationwide Study ◽  
National Cohort ◽  
Tunnel Syndrome

Objective Carpal tunnel syndrome (CTS) is common in patients with acromegaly, with a reported prevalence of 19–64%. We studied CTS in a large national cohort of patients with acromegaly and the temporal relationship between the two diagnoses. Design Retrospective, nationwide, cohort study including patients diagnosed with acromegaly in Sweden, 2005–2017, identified in the Swedish Healthcare Registries. Methods CTS (diagnosis and surgery in specialised healthcare) was analysed from 8.5 years before the diagnosis of acromegaly until death or end of the study. Standardised incidence ratios (SIRs) with 95% CIs were calculated for CTS with the Swedish population as reference. Results The analysis included 556 patients with acromegaly (50% women) diagnosed at mean (s.d.) age 50.1 (15.0) years. During the study period, 48 patients were diagnosed with CTS and 41 patients underwent at least one CTS surgery. In the latter group, 35 (85%) were operated for CTS before the acromegaly diagnosis; mean interval (range) 2.2 (0.3–8.5) years and the SIR for having CTS surgery before the diagnosis of acromegaly was 6.6 (4.8–8.9). Women with acromegaly had a higher risk for CTS than men (hazard ratio: 2.5, 95% CI: 1.3–4.7). Conclusions Patients with acromegaly had a 6-fold higher incidence for CTS surgery before the diagnosis of acromegaly compared with the general population. The majority of patients with both diagnoses were diagnosed with CTS prior to acromegaly. Increased awareness of signs of acromegaly in patients with CTS might help to shorten the diagnostic delay in acromegaly, especially in women.

Weakness in the Hand of a Woman During Pregnancy

2017 ◽  
Author(s):  
Janet Waters
Keyword(s):  
Carpal Tunnel Syndrome ◽  
General Population ◽  
Pregnant Women ◽  
Carpal Tunnel ◽  
The United States ◽  
Physiological Changes ◽  
Steroid Injections ◽  
Tunnel Syndrome ◽  
Symptoms And Signs ◽  
In Pregnancy

Carpal tunnel syndrome is the most common neuropathy experienced by pregnant women. It has an incidence of 3.4% in the general population in the United States. It occurs more frequently in pregnant women than in the general population, with an incidence of 17%. It is the most common mononeuropathy in pregnant women. This chapter covers the symptoms and signs that allow a clinician to make the diagnosis of carpal tunnel syndrome. Neuroanatomy and physiological changes that predispose pregnant women to this disorder are described. Management and prognosis of carpal tunnel syndrome in pregnancy are discussed: conservative management with wrist splints worn at night is effective in over 80% of patients. Local steroid injections can provide relief in patients with severe symptoms.

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