Survey on the Prevalence of Carpal Tunnel Syndrome in Simple Repetitive Workers Who Use Upper Extremities

Background: Histoplasmosis of the upper extremities is extremely rare, and there is no consensus in its management. The aim of this study was to present a case report and literature review of histoplasmosis in the upper extremities to provide the best treatment recommendation and to increase awareness of this disease. Methods: A systematic review of the literature was performed in PubMed, MEDLINE, and EMBASE databases with the search terms “(Tenosynovitis AND histoplasmosis)” OR “(Upper limbs AND histoplasmosis)” OR “(Upper extremities AND histoplasmosis)” OR “((finger OR arm OR hand OR forearm OR wrist) AND histoplasmosis).” Manuscripts were included in the study if they described diagnosis of histoplasmosis in the bone, joint, synovia, or tendons of the upper extremities. Results: In all, 14 manuscripts and 15 cases of histoplasmosis of the upper extremities from 1992 to 2015 met the inclusion criteria. Eight (53.3%) patients were diagnosed with tenosynovitis, 5 (33.3%) with osteomyelitis, 1 (6.7%) with carpal tunnel syndrome, and 1 (6.7%) with joint wrist abscess. Immunosuppression, travel history, previous diagnosis with histoplasmosis, and persistent symptoms may suggest infectious causes. Surgery and medical treatment together are recommended to optimize outcomes compared with single treatment alone. Conclusions: Histoplasmosis of the upper extremities may have various clinical presentations, including tenosynovitis, osteomyelitis, carpal tunnel syndrome, and joint wrist abscess. The type of surgical approach may depend on the etiology of disease. Increased awareness and knowledge of the clinical signs, symptoms, and effective treatment modalities will help decrease possible complications, such as tendon rupture and functional impairment of the upper extremities.

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Comparison of Strain Index (SI) and ACGIH-HAL in Assessing the Risk of Upper Extremities Disorders and Prediction of Carpal Tunnel Syndrome in Butchers

Journal of Ergonomics ◽

10.30699/jergon.6.4.1 ◽

2019 ◽

Vol 6 (4) ◽

pp. 1-8

Author(s):

Fakhradin Ghasemi ◽

◽

Kamran Gholamizadeh ◽

Amin Doosti-Irani ◽

Rahmani Ramin ◽

...

Keyword(s):

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Upper Extremities ◽

Strain Index ◽

Tunnel Syndrome

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The Prevalence of Carpal Tunnel Syndrome among Male Hairdressers in Bojnourd, Iran

Journal of Sport Biomechanics ◽

10.32598/biomechanics.5.2.1 ◽

2019 ◽

Vol 5 (2) ◽

pp. 82-91

Author(s):

Ali Roshandel Hesari ◽

◽

Ali Kamali ◽

Mohsen Tavakoli ◽

◽

...

Keyword(s):

Data Analysis ◽

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Analytical Study ◽

Upper Extremities ◽

Descriptive Statistics ◽

Cross Sectional ◽

Significance Level ◽

Tunnel Syndrome ◽

Cross Sectional Design

Objective Carpal Tunnel Syndrome (CTS) is one of the most common compression neuropathy in the upper extremities. The aim of this study was to investigate the prevalence of CTS among male hairdressers in Bojnourd, Iran. Methods This is a descriptive/analytical study with cross-sectional design conducted on 109 male hairdressers in bojnourd city. Among them, 38 had CTS symptoms such as finger numbness and underwent Phalen’s and Tinel’s tests, 22 of whom were positive. As a result, they were referred to a rehabilitation specialist for electrodiagnostic studies. Data analysis was carried out in SPSS v.22 software using descriptive statistics such as frequency and percentage and considering a significance level of 0.05. Results Twenty-two of 109 hairdressers had clinical and electrodiagnostic criteria for CTS (20.8%). Of these, 45.45% had mild (n=10), 31.81% moderate (n=7) and 22.72% severe CTS (n=5). Conclusion Hairdressing is one of the potential jobs for CTS. Hairdressers’ work situations need to be improved. It is also necessary to improve the awareness of hairdressers about biomechanics and the correct ways of doing work.

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Prevalence of Carpal Tunnel Syndrome (Cts) In Civil Shooters: Retrospective Neurophysiological Evaluation

10.21203/rs.3.rs-258602/v1 ◽

2021 ◽

Author(s):

Aleksander Rajczewski ◽

Artur Fabijański ◽

Ksawery Bogusławski ◽

Michał Kaźmierczak ◽

Juliusz Huber

Keyword(s):

Risk Factor ◽

Carpal Tunnel Syndrome ◽

Brachial Plexus ◽

Carpal Tunnel ◽

Muscle Tension ◽

Motor Evoked Potential ◽

Upper Extremities ◽

Cervical Disc ◽

Neurophysiological Studies ◽

Tunnel Syndrome

Abstract Background: Shooting may impact the development of mononeuropathies in upper extremities nerves or cervical disc-root conflicts. The study aimed to assess whether shooting sports trained with a handgun by civils are a risk factor of carpal tunnel syndrome (CTS) and other neuropathies of the upper extremity nerves.Method: Neurophysiological studies utilising electromyography (at rest-rEMG, during maximal contraction-mcEMG), electroneurography (ENG) and motor evoked potential (MEP) were applied in nine shooters (rigorously screened as positive using clinical examination for carpal tunnel syndrome among the population of 42) to confirm pathologies.Results: Increased muscle tension in rEMG and simultaneous decrease of motor units activity in mcEMG were recorded both in upper extremities of proximal and distal muscles in shooters than in healthy controls-volunteers, ENG examination confirmed CTS in shooting hand of four persons (4/42, 9,5%); all examined subjects suffered from brachial plexus pathologies on both sides (according to MEPs examinations) and two had ulnar neuropathy at the wrist on shooting side.Conclusions: Shooting is a moderate risk factor for CTS and significant for brachial plexus neuropathies.Trial registration: The Bioethics Committee of Poznan University of Medical Sciences approved the study (decision number 554/17 of 22 June 2017), performed following the Declaration of Helsinki.

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Clinical Update: Assessing Maximum Medical Improvement in Carpal Tunnel Syndrome

Guides Newsletter ◽

10.1001/amaguidesnewsletters.2003.julaug02 ◽

2003 ◽

Vol 8 (4) ◽

pp. 4-5

Author(s):

Christopher R. Brigham ◽

James B. Talmage

Keyword(s):

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Proper Time ◽

Carpal Tunnel Release ◽

Hand Function ◽

Factors Affecting ◽

Early Results ◽

Medical Evaluation ◽

Nerve Recovery ◽

Tunnel Syndrome

Abstract Permanent impairment cannot be assessed until the patient is at maximum medical improvement (MMI), but the proper time to test following carpal tunnel release often is not clear. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) states: “Factors affecting nerve recovery in compression lesions include nerve fiber pathology, level of injury, duration of injury, and status of end organs,” but age is not prognostic. The AMA Guides clarifies: “High axonotmesis lesions may take 1 to 2 years for maximum recovery, whereas even lesions at the wrist may take 6 to 9 months for maximal recovery of nerve function.” The authors review 3 studies that followed patients’ long-term recovery of hand function after open carpal tunnel release surgery and found that estimates of MMI ranged from 25 weeks to 24 months (for “significant improvement”) to 18 to 24 months. The authors suggest that if the early results of surgery suggest a patient's improvement in the activities of daily living (ADL) and an examination shows few or no symptoms, the result can be assessed early. If major symptoms and ADL problems persist, the examiner should wait at least 6 to 12 months, until symptoms appear to stop improving. A patient with carpal tunnel syndrome who declines a release can be rated for impairment, and, as appropriate, the physician may wish to make a written note of this in the medical evaluation report.

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Clinical Update: Understanding Causation: An Example Using Carpal Tunnel Syndrome

Guides Newsletter ◽

10.1001/amaguidesnewsletters.2007.novdec02 ◽

2007 ◽

Vol 12 (6) ◽

pp. 5-8 ◽

Cited By ~ 3

Author(s):

J. Mark Melhorn

Keyword(s):

Risk Factors ◽

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Legal Responsibility ◽

Medical Evidence ◽

Anatomic Structure ◽

Legal Professionals ◽

Compensation Systems ◽

Tunnel Syndrome ◽

Four Levels

Abstract Medical evidence is drawn from observation, is multifactorial, and relies on the laws of probability rather than a single cause, but, in law, finding causation between a wrongful act and harm is essential to the attribution of legal responsibility. These different perspectives often result in dissatisfaction for litigants, uncertainty for judges, and friction between health care and legal professionals. Carpal tunnel syndrome (CTS) provides an example: Popular notions suggest that CTS results from occupational arm or hand use, but medical factors range from congenital or acquired anatomic structure, age, sex, and body mass index, and perhaps also involving hormonal disorders, diabetes, pregnancy, and others. The law separately considers two separate components of causation: cause in fact (a cause-and-effect relationship exists) and proximate or legal cause (two events are so closely related that liability can be attached to the first event). Workers’ compensation systems are a genuine, no-fault form of insurance, and evaluators should be aware of the relevant thresholds and legal definitions for the jurisdiction in which they provide an opinion. The AMA Guides to the Evaluation of Permanent Impairment contains a large number of specific references and outlines the methodology to evaluate CTS, including both occupational and nonoccupational risk factors and assigning one of four levels of evidence that supports the conclusion.

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