scholarly journals Work-related carpal tunnel syndrome treatment: a cross-sectional study among 106 patients

Reumatismo ◽  
2017 ◽  
Vol 69 (2) ◽  
pp. 59 ◽  
Author(s):  
M. Aouatef ◽  
B. Asma ◽  
H. Hajer ◽  
A. Charfeddine ◽  
B. Lamia ◽  
...  

The objective is to assess the influence of sociodemographic, professional and clinical variables on the choice of treatment of work-related carpal tunnel syndrome (CTS). An exhaustive and trans-sectional study was conducted over a period of eight years, from 1st January 2006 to 31 December 2013 in the Department of Occupational Medicine at University Hospital of Mahdia, Tunisia. The study population was represented by patients with work-related carpal tunnel syndrome. Data collection was based on a questionnaire sheet, describing social, occupational and medical characteristics of patients. The study population was characterized by a large female dominance, representing 95.3% with an average age of 42±7.8 years. Patients medically treated represented 38.7% and 61.3% had had surgical treatment. After binary logistic regression, surgical indication of CTS was significantly correlated to diabetes (p=0.017), other musculoskeletal disorders (p=0.02), functional signs of CTS (acrocyanosis p=0.05; muscle weakness p=0.015; radiating pain p=0.01; painful discomfort of the hand, the forearm or arm p=0.027) and to the atrophy of thenar muscles (p=0.018). According to this study, the choice of therapy for occupational CTS depends only on clinical data. More detailed studies will be needed to refine these results.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Beibei Feng ◽  
Kedi Chen ◽  
Xiaoxia Zhu ◽  
Wing-Yuk Ip ◽  
Lars L. Andersen ◽  
...  

Abstract Background Carpal tunnel syndrome (CTS) is a common cause of pain, numbness and tingling in the wrist and hand region and is associated with repetitive wrist and hand use in office workers. However, scarce knowledge exists about the epidemiology of clinically confirmed CTS among Chinese office workers. This study aimed to investigate the prevalence of wrist/hand symptoms and CTS in office workers in China and to identify associated risk factors. Methods A cross-sectional survey was carried out in a metropolitan city in China involving 969 respondents (aged 17–49 years) from 30 workplaces. A questionnaire was distributed to each participant to collect their demographic, work-related physical and psychosocial factors, and wrist and hand symptoms. The wrist and hand pain/numbness symptoms were marked on a body chart and the nature and intensity of symptoms, nocturnal symptoms, as well as aggravating activities were also recorded. Clinically confirmed CTS cases were screened based on the history, Phalen’s test, Tinel Sign and skin sensation testing among symptomatic respondents. Logistic regression was employed to estimate the odds ratio (OR) and 95% confidence interval (95% CI) for the occurrence of self-reported wrist and hand symptoms and clinically confirmed CTS. Results The clinically confirmed CTS prevalence was 9.6%. The prevalence of wrist and hand symptoms were 22 and 15%, respectively. Frequently working in pain was associated with higher odds of CTS. Multivariate modelling adjusted for age and gender showed that prolonged computer use time and working without breaks were associated with presence of wrist/hand symptoms (adjusted ORs: 1.11 (95% CI 1.02–1.22) and 1.88 (95% CI 1.12–3.14)). Educational level was inversely associated with CTS and smoking was associated with wrist/hand complaints (adjusted OR: 2.20 (95% CI 1.19–4.07)). Conclusions The prevalence of work-related clinically confirmed CTS symptoms among young office workers in China is high. Frequently working in pain is closely associated with clinically confirmed CTS. Intense computer use and no breaks at work are associated with wrist and hand symptoms.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A638-A638
Author(s):  
Diego Fernando Paredes Vinueza ◽  
Gómez-Caballero María del Socorro ◽  
Andrea Paola Solis-Pazmino ◽  
Jorge Luis Salazar-Vega

Abstract This is a descriptive cross-sectional study designed to analyze the prevalence and severity of carpal tunnel syndrome (CTS) in addition to its association with clinical, biochemical, and imaging variables in a cohort of patients with acromegaly. Data collection was performed by entering them in our database and we subsequently analyzed in the SPSS system. Of the 71 patients registered with acromegaly, 68 met the inclusion criteria. Among the results, 97.8% presented CTS evidenced by electroconduction. Of these, 43 (63.1%) showed moderate involvement, followed by 17 severe cases (25%) and 6 mild cases (8.8%). The level of GH in serum, the years of delay in diagnosis, and the size of the adenoma were related to the presence and severity of CTS (p less than 0.05). The multivariate analysis showed that severe grade had a significant association with these variables compared with moderate and mild grade.


Author(s):  
Trung Dung Tran ◽  
Huu Manh Nguyen ◽  
Khanh Trinh Le Khanh Trinh ◽  
Ngoc Thanh Ma

Objective: Measure the intratunnel pressure of carpal tunnel in patients who underwent surgical treatment for carpal tunnel syndrome in Hanoi Medical University Hospital Patients and method: Prospective cross-sectional study of 33 carpal tunnel syndrome patients (61 hands) treated surgically at Hanoi Medical University Hospital. Measure the preoperative intratunnel pressure with manometer using needle catheter with 3 positions: neutral position, 90º of flexion and 90º of extension. Results: the average intratunnel pressure was 13.87 ±1.56 mmHg, it increased when wrist at 90º of flexion and 90º of extension (27.60 ± 2.53 and 34.76 ± 3.25, respectively). Conclusion: There is a high intratunnel pressure situation in the carpal tunnel syndrome.


2021 ◽  
Vol 8 (1) ◽  
pp. 91
Author(s):  
Ni Luh Made Susanthi Pramandani ◽  
I Made Ady Wirawan

ABSTRAK Carpal Tunnel Syndrome (CTS) merupakan salah satu gangguan pada lengan tangan akibat penyempitan terowongan karpal sehingga terjadi penekanan terhadap nervus medianus. Gerakan tangan saat menggunakan keyboard dan mouse dalam bermain game online memiliki tingkat repetisi tinggi pada jari tangan sehingga dapat berpengaruh terhadap kejadian CTS. Penelitian ini bertujuan untuk mengetahui proporsi dan faktor risiko CTS pada siswa SMA pemain game online di Kota Denpasar. Penelitian kuantitatif analitik dengan rancangan cross-sectional study. Responden berjumlah 70 siswa dengan teknik pengambilan sampel purposive sampling. Hasil menunjukan proporsi CTS responden sebesar 31,43% dengan kategori ringan. Seluruh variabel karakteristik individu yang mencakup usia (p=0,25) dan jenis kelamin (p=0,50) tidak memiliki hubungan yang bermakna dengan kejadian CTS, sedangkan variabel pola bermain, perangkat bermain, dan repetitive motion (p=0,00) terbukti memiliki hubungan bermakna dengan kejadian CTS. Pola bermain merupakan faktor risiko yang paling berpengaruh terhadap kejadian CTS pada siswa pemain game online dengan OR= 23,74. Oleh karena itu diperlukan adanya dukungan pemerintah berupa program preventif - rehabilitatif bagi pecandu game untuk mengedukasi siswa dan orangtua terkait dampak game online.   Kata Kunci: Carpal Tunnel Syndrome, Siswa, Game Online


Hand ◽  
2016 ◽  
Vol 11 (3) ◽  
pp. 330-335 ◽  
Author(s):  
Andrew J. Rosenbaum ◽  
Andrew Dunkman ◽  
Daniel Goldberg ◽  
Richard L. Uhl ◽  
Michael Mulligan

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