scholarly journals Carpal tunnel syndrome in females: pregnancy and lactation the major risk factors

2018 ◽  
Vol 7 (9) ◽  
pp. 3512
Author(s):  
Sandesh Ganjoo ◽  
Diptiman Kaul ◽  
Parvaiz Ahmed Shah
Keyword(s):  
Risk Factors ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Nerve Conduction ◽  
Dominant Hand ◽  
Occupational Risk Factors ◽  
Nocturnal Pain ◽  
Pregnancy And Lactation ◽  
Hand Involvement ◽  
Tunnel Syndrome

Background: Carpal Tunnel Syndrome (CTS) is the most common entrapment neuropathy. CTS is more common in the age group of 45-65 years and more common in women than men.  Several factors cause CTS, including pregnancy and lactation.Methods: The study was conducted on 60 females with carpal tunnel syndrome. Each patient was subjected to detailed history and relevant clinical examination with emphasis on elaborate neurological examination. Informed consent regarding participation into the study was taken from the patients. Patients suspected of suffering from carpal tunnel syndrome were subjected to nerve conduction study. Patients were classified into mild- moderate and severe carpal tunnel syndrome according to clinical and nerve conduction grading.Results: Out of 60 females, 21 were pregnant (35%) and 19 were lactating (31.7%).  The mean age of presentation was 44.6±14.14 years with range from 22 to 63 years. Causes were attributed to Pregnancy (35%) lactation (31.7%), hypothyroidism (18.3%), occupational risk factors (15.85%) and gout (2.4%).Conclusions: Carpal tunnel syndrome has a high incidence in females. Sensory symptoms (paresthesia, numbness and nocturnal pain) were more common than symptoms of motor weakness. Dominant hand involvement was more common.

Prevalence and severity of carpal tunnel syndrome symptoms among Iranian butchers and their association with occupational risk factors: Implications for ergonomic interventions

Work ◽  
2020 ◽  
Vol 66 (4) ◽  
pp. 817-825
Author(s):  
Fakhradin Ghasemi ◽  
Kamran Gholamizadeh ◽  
Ramin Rahmani ◽  
Amin Doosti-Irani
Keyword(s):  
Risk Factors ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Significant Relationship ◽  
Working Hours ◽  
Occupational Risk ◽  
Hand Tools ◽  
Occupational Risk Factors ◽  
Tunnel Syndrome

BACKGROUND: Carpal tunnel syndrome (CTS) is a common disorder among occupations where upper extremities are actively involved in. Many occupational and non-occupational risk factors may contribute to this disorder. Knowledge regarding occupational risk factors can guide us to implement interventional programs. OBJECTIVE: The aim of the present study was to assess the prevalence and severity of CTS symptoms among butchers and their association with several occupational and non-occupational risk factors. METHODS: In this study, 152 butchers in Hamadan, Iran, were examined. The Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) was used to investigate the severity of CTS symptoms among the individuals. Several risk factors such as body mass index (BMI), wrist ratio, active working hours per day, working experience, and the ergonomic quality of hand tools used by butchers were also investigated. Statistical tests such as the crude and robust regression were used to analyze the data. RESULTS: The prevalence of moderate and mild symptoms of CTS were 7% and 54%, respectively. Moreover, 39% of the butchers were free of CTS symptoms. Crude regression analyses showed that the severity of CTS symptoms had a significant relationship with age, work experience, active working hours per day, working hours per week, and ergonomic quality of the hand tools (p value <0.05). There was no significant relationship between the severity of CTS symptoms and wrist ratio and BMI. Results of the robust regression analysis showed a significant relationship between the severity of CTS symptoms with experience, active working hours, and quality of the hand tools. CONCLUSION: Occupational risk factors such as working experience, active working hours per day, and the ergonomic quality of hand tools are significant risk factors of CTS symptoms among butchers. Slippery handle is the main non-ergonomic feature of knives and cleavers used by butchers. There was no association between BMI and wrist ratio with CTS symptoms.

scholarly journals Age and Body Anthropometry as Predicting Factors for Carpal Tunnel Syndrome among Egyptian Obese Women

2020 ◽  
Vol 8 (B) ◽  
pp. 930-934
Author(s):  
Moushira Zaki ◽  
Maha Ali ◽  
Walaa Yousef ◽  
Wafaa Ezzat ◽  
Walaa Basha
Keyword(s):  
Risk Factors ◽  
Carpal Tunnel Syndrome ◽  
Conduction Velocity ◽  
Carpal Tunnel ◽  
Nerve Conduction ◽  
Nerve Conduction Velocity ◽  
Obese Women ◽  
Tunnel Syndrome ◽  
Obesity Indices ◽  
Predictor Factors

BACKGROUND: Carpal tunnel syndrome (CTS) is the most prevalent entrapment neuropathy in the upper limb. The most consistent risk factors are female gender, age, and obesity. The results of previous studies are conflicting, and moreover, data from studies regarding obesity and nerve conduction velocity are not available for our Egyptian population. AIM: This study was designed to investigate the contribution of age and body anthropometry as predictor factors to the CTS and to identify patients at high risk for CTS among Egyptian obese women. METHODS: The study included 120 obese women grouped according to the clinical and electrodiagnostic (EDX) findings into two groups: 60 with CTS and 60 without CTS (non-CTS). EDX study was used in the diagnosis of median nerve entrapment at the level of the wrist, according to the American Association of Neuromuscular and EDX Medicine. Body weight and height were measured and then body mass index (BMI) was calculated. Waist-to-hip ratio (WHR) was determined from the measured waist circumference (WC) and hip circumference (HC). Mid upper arm circumference (MUAC) was measured as well. The receiver operating characteristic (ROC) curve was used to assess the power of age and body anthropometry as predictor factors for CTS. RESULTS: CTS obese cases showed significantly lower values of both median motor nerve conduction velocity (MMNCV) and median sensory nerve conduction velocity compared to those without CTS. Significantly higher median sensory latency and median motor latency have been found in CTS cases compared to non-CTS group. Significant differences in the mean age have been found between the two groups and a tendency for higher body anthropometry measures in the CTS cases relative to those without CTS. Moreover, there were negative correlations between MMNCV and obesity indices. Age showed the highest area under the ROC curve, followed by BMI, WHR WC, HC, and MUAC. CONCLUSION: Age and obesity indices are important risk factors that can be used as predictors to CTS in obese women. Age is a more powerful diagnostic tool relative to the anthropometric measurements. Women of age above 40 years and suffering from a high degree of obesity are at risk of developing CTS.

Risk Factors of Carpal Tunnel Syndrome for Male Patient Undergoing Carpal Tunnel Release

2018 ◽  
Vol 50 (05) ◽  
pp. 335-340
Author(s):  
Jun-Ku Lee ◽  
Soo-Hyun Lee ◽  
Banghyun Kim ◽  
Kyunghun Jung ◽  
Inkeun Park ◽  
...  
Keyword(s):  
Risk Factors ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Fluid Balance ◽  
Occupational Risk ◽  
Occupational Risk Factors ◽  
Factors Associated ◽  
Female Patients ◽  
Tunnel Syndrome ◽  
Male Patients

Abstract Introduction Although the major cause of carpal tunnel syndrome (CTS) remains idiopathic, many male CTS patients are clinically different from female patients and often have specific risk factors associated with their conditions. An accurate analysis of such propensity has yet to be established. The purpose of this study is to compare male and female patients by analyzing the risk factors associated with CTS patients who underwent surgical treatment, with focus on their occupation. Patients/Material and Methods retrospective chart review of 818 patients with CTS was performed to identify the associated risk factors. Patients were stratified by gender: female (n = 707, 86.4 %) and male (n = 111, 13.6 %). The mean patient age was 54.5 (range: 16–85 yr.) for all groups. The medical history and risk factors of each patient was thoroughly reviewed by medical charts and telephone survey. We categorized the risk factors of CTS into 7 categories: anatomic, neuropathic, inflammatory, alteration of fluid balance, distal radius fracture associated, occupational risk factor related, and idiopathic. Occupations of CTS patients were divided into high risk occupations (vibratory tools, assembly jobs, and food processing and packaging jobs, and other occupations of repetitive wrist motion and forceful gripping) and nonrisk occupations. All variables were analyzed with chi-square or Fisher’s exact test for differences between men and women. Results The number of individuals with known risk factors of CTS was greater in male, compared to that of female patients; 97 (87.4 %) male patients had the risk factors of CTS, while 361 (51.1 %) female patients (p < 0.001) did. In subgroup analysis of risk factors, male patients had frequent risk factors in neuropathic, inflammatory, and alteration of fluid balance (p < 0.001). Occupational risk was strongly associated with male gender (p < 0.001). Conclusion Male CTS patients who underwent surgery are more likely to have a reason and have many occupational risk factors than women.

scholarly journals Carpal Tunnel Syndrome: Under-recognition of Occupational Risk Factors by Clinicians

2007 ◽  
Vol 45 (6) ◽  
pp. 820-822 ◽  
Author(s):  
Yaron YAGEV ◽  
Mark GRINGOLDS ◽  
Isabella KARAKIS ◽  
Rafael S. CAREL
Keyword(s):  
Risk Factors ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Occupational Risk ◽  
Occupational Risk Factors ◽  
Tunnel Syndrome
Sign in / Sign up

Export Citation Format

Share Document