Carpal Tunnel Syndrome After Recurrent Pregnancies

Mapping Intimacies ◽

10.21203/rs.3.rs-41844/v1 ◽

2020 ◽

Author(s):

Mesude Kisli

Keyword(s):

Retrospective Study ◽

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Grand Multiparity ◽

Study Population ◽

Tunnel Syndrome ◽

The Mean ◽

Severity Of The Disease ◽

Number Of Births

Abstract Background: The primary aim of the retrospective study was to study whether the number of births in women ( primipara, multipara and grand multipara women ) the long term after deliveries has an impact on the development of Carpal tunnel syndrome ( CTS ).Methods: Our study population is composed of patients who are referred with suspicion of CTS. Four hundred and fifty female patients ( 150 primara, 150 multipara and 150 grand multipara women ) referred to the electrophsiology laboratory with clinical suspicion CTS were included into the descriptive and retrospective study between November 2016 and June 2018. Primiparity, multiparity and grand multiparity were defined as women having 1, 2 – 5 and 6 - 9 deliveries, respectively. Patients who passed 2 years after their last birth were included in the study. All of the patients were assessed and compared in terms of electrophysiological CTS presence and degree of CTS. Also BMI was calculated for each patient and it compared among groups.Results: The disease has not been changed with the number of births ( p > 0.05 ). The mean BMI of the primipara, multipara and grand multipara women were 28,06 ± 1,12 kg / m2, 27,59 ± 3,72 kg / m2 and 27,82 ± 3,11 kg / m2, respectively. There was no significant statistically difference in BMI among groups ( p > 0.05). However, the severity of the disease varies according to BMI ( p < 0.05 ). It was calculated that as the BMI increases, the severity of the disease increases. Conclusions: Number of pregnancies in women ( primipara, multipara and grand multipara women ) concerning the long term after deliveries has not impact on the development of CTS. Other risk factors such as BMI may play a significant role in the development of CTS in these patients.

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Carpal Tunnel Syndrome After Recurrent Pregnancies

10.21203/rs.3.rs-41844/v2 ◽

2020 ◽

Author(s):

Mesude Kisli

Keyword(s):

Retrospective Study ◽

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Grand Multiparity ◽

Study Population ◽

Tunnel Syndrome ◽

The Mean ◽

Severity Of The Disease ◽

Number Of Births

Abstract Background The primary aim of the retrospective study was to study whether the number of births in women (primipara, multipara and grand multipara women) the long term after deliveries has an impact on the development of Carpal tunnel syndrome (CTS). Methods Our study population is composed of patients who are referred with suspicion of CTS. Four hundred and fifty female patients (150 primara, 150 multipara and 150 grand multipara women) referred to the electrophsiology laboratory with clinical suspicion CTS were included into the descriptive and retrospective study between November 2016 and June 2018. Primiparity, multiparity and grand multiparity were defined as women having 1, 2 – 5 and 6 - 9 deliveries, respectively. Patients who passed 2 years after their last birth were included in the study. All of the patients were assessed and compared in terms of electrophysiological CTS presence and degree of CTS. Also BMI was calculated for each patient and it compared among groups. Results The disease has not been changed with the number of births (p > 0.05). The mean BMI of the primipara, multipara and grand multipara women were 28,06 ± 1,12 kg / m2, 27,59 ± 3,72 kg / m2 and 27,82 ± 3,11 kg / m2, respectively. There was no significant statistically difference in BMI among groups (p > 0.05). However, the severity of the disease varies according to BMI (p < 0.05). It was calculated that as the BMI increases, the severity of the disease increases. Conclusions Number of pregnancies in women (primipara, multipara and grand multipara women) concerning the long term after deliveries has not impact on the development of CTS. Other risk factors such as BMI may play a significant role in the development of CTS in these patients.

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Carpal tunnel syndrome: long-term nerve conduction studies in 261 hands

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2009000100017 ◽

2009 ◽

Vol 67 (1) ◽

pp. 69-73 ◽

Cited By ~ 8

Author(s):

Dante Guilherme Velasco Hardoim ◽

Guilherme Bueno de Oliveira ◽

João Aris Kouyoumdjian

Keyword(s):

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Nerve Conduction ◽

Sensory Nerve ◽

Nerve Conduction Studies ◽

Sensory Nerve Action ◽

Tunnel Syndrome ◽

The Mean ◽

Compound Action

OBJECTIVE: To compare a long-term carpal tunnel syndrome (CTS) on nerve conduction studies (NCS) in hands treated non-surgically. METHOD: We retrospectively selected 261 symptomatic CTS hands (166 patients), all of them confirmed by NCS. In all cases, at least 2 NCS were performed in an interval greater than 12 months. Cases with associated polyneuropathy were excluded. NCS parameters for CTS electrodiagnosis included a sensory conduction velocity (SCV) <46.6 m/s (wrist to index finger, 14 cm) and distal motor latency (DML) >4.25 ms (wrist to APB, 8 cm). RESULTS: 92.8% were women; mean age was 49 years (20-76); the mean interval between NCS was 47 months (12-150). In the first exam, the median sensory nerve action potential (SNAP) and the compound action muscular potential were absent in 9.8% and 1.9%, respectively. In the second/last exam, SCV worsened in 54.2%, remained unchanged in 11.6% and improved in 34.2%. SNAP amplitude worsened in 57.7%, remained unchanged in 13.1% and improved in 29.2%. DML worsened in 52.9%, remained unchanged in 7.6% and improved in 39.5%. Overall, NCS parameters worsened in 54.9%, improved in 34.3% and remained unchanged in 10.8%. CONCLUSION: Long-term changing in NCS of CTS hands apparently were not related to clinical symptomatology and could lead to some difficulty in clinical correlation and prognosis. Aging, male gender and absent SNAP were more related to NCS worsening, regardless the mean interval time between the NCS.

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Carpal tunnel syndrome and finger deformities in children with mucopolysaccharidoses and mucolipidoses: a retrospective review of 52 patients

Journal of Hand Surgery (European Volume) ◽

10.1177/17531934211061980 ◽

2021 ◽

pp. 175319342110619

Author(s):

Clément Thirache ◽

Mathilde Gaume ◽

Cyril Gitiaux ◽

Arielle Salon ◽

Caroline Dana ◽

...

Keyword(s):

Retrospective Study ◽

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Clinical Signs ◽

Single Centre ◽

Level Of Evidence ◽

Age At Surgery ◽

Tunnel Syndrome ◽

The Mean

This single-centre retrospective study reports our management of carpal tunnel syndrome in 52 children (103 hands) with mucopolysaccharidoses and mucolipidoses. All except one were bilateral. The median age at surgery was 4 years (range 1.5 to 12). The diagnosis of carpal tunnel syndrome was confirmed by an electromyogram (EMG) in all patients; 38% of these presented without any clinical signs. Surgical neurolysis was performed in all hands, combined with epineurotomy in 52 hands (50%) and flexor tenosynovectomy in 75 hands (73%). Surgery was bilateral in 98% of children (102 hands). The mean follow-up was 12 years (range 1 to 19) and the EMG was normalized in 78% of hands. Ten patients suffered recurrence, eight of whom required further surgery. Screening for carpal tunnel syndrome is essential for the management of children mucopolysaccharidoses and mucolipidoses. Surgical treatment should be carried out early with follow-up by EMG to detect recurrence. Level of evidence: IV

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Open Surgical Therapy for Carpal Tunnel Decompression in Long-Term Haemodialysis Patients

Journal of Hand Surgery (European Volume) ◽

10.1054/jhsb.2000.0550 ◽

2001 ◽

Vol 26 (6) ◽

pp. 529-532 ◽

Cited By ~ 11

Author(s):

E. SHIOTA ◽

K. TSUCHIYA ◽

K. YAMAOKA ◽

O. KAWANO

Keyword(s):

Retrospective Study ◽

Carpal Tunnel Syndrome ◽

Functional Recovery ◽

Carpal Tunnel ◽

Carpal Tunnel Release ◽

The Other ◽

Lower Recurrence Rate ◽

Open Surgical Therapy ◽

Tunnel Syndrome

This retrospective study assessed the treatment of 91 cases of carpal tunnel syndrome in long-term haemodialysis patients. One group of patients underwent an enlargement reconstruction of the flexor retinaculum with synovectomy and the other group was treated with a conventional carpal tunnel release. There were no major changes or differences between the outcomes of the two groups. However, there was an earlier functional recovery of grip strength and a lower recurrence rate in the enlargement plasty with synovectomy group.

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Long-term outcome of carpal tunnel syndrome after conservative treatment

International Journal of Clinical Practice ◽

10.1111/j.1368-5031.2004.00028.x ◽

2004 ◽

Vol 58 (4) ◽

pp. 337-339 ◽

Cited By ~ 21

Author(s):

A.C.F. Hui ◽

S.M. Wong ◽

A. Tang ◽

V. Mok ◽

L.K. Hung ◽

...

Keyword(s):

Carpal Tunnel Syndrome ◽

Conservative Treatment ◽

Carpal Tunnel ◽

Term Outcome ◽

Long Term Outcome ◽

Tunnel Syndrome

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Sono-Elastography in evaluation of the median nerve in carpal tunnel syndrome patients

QJM ◽

10.1093/qjmed/hcab106.052 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Maha Mohamed Abdelraouf ◽

Amal Ibrahim Ahmed ◽

Nouran Abdelrahman Elghitany

Keyword(s):

Carpal Tunnel Syndrome ◽

Median Nerve ◽

Carpal Tunnel ◽

Area Under Curve ◽

University Hospitals ◽

Electrodiagnostic Testing ◽

Study Population ◽

Tunnel Syndrome ◽

Study Setting

Abstract Background Carpal tunnel syndrome (CTS) is the most common nerve entrapment syndrome. It is caused by compression of the median nerve as it passes through the carpal tunnel in the wrist. The diagnosis of CTS is based on a combination of characteristic symptoms and electrophysiologic abnormalities. Electrodiagnostic testing (EDT) is uncomfortable for patients, time consuming and expensive. Objective To evaluate the role of greyscale and strain elastography ultrasound imaging in diagnosing patients with CTS and controls in comparison with nerve conductive studies. Patients and Methods Type of Study: Descriptive, prospective study. Study Setting: The study will be conducted at Ain Shams University Hospitals, Radiodiagnosis department. Study Period: 6 months. Study Population: Patients with carpal tunnel syndrome diagnosed clinically and underwent nerve conduction velocity study. Results In this study 7 wrists were diagnosed with mild CTS, 5 wrists demonstrated moderate CT, whereas only 3 wrists revealed severe CTS. The mean CSA would have increased if the number of cases with severe CTS had been higher. CSA of the median nerve has been reported to increase with the severity of entrapment. The cut off point of the average CSA to differentiate between cases and controls was found > 8 with sensitivity of 93.33%, specificity of 80% and area under curve (AUC) of 91.3% while the best cut off point for Elasto score was found > 1 with sensitivity of 86.6%, specificity of 80% and area under curve (AUC) of 93.3%. Conclusion We concluded that sonoelastography is a sensitive tool for prediction of CTS and it’s severity in correlation to NCV.

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