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

Abstract

Objective. An epidemiologic surveillance network for carpal tunnel syndrome (CTS) was set up in the general population of a French region to assess the proportion of CTS cases attributable to work in high-risk industries and occupations.

Carpal tunnel syndrome in manual tea harvesters

“…These electrophysiological and clinical findings suggest extensive fascicular involvement within the median nerve in contrast to idiopathic CTS. [1][2][3] There were statistically significant positive correlations between the clinical stages of the patients and the age, working duration and duration of symptoms in our study. A statistically significant positive correlation was also present between the neurophysiologic grades of the patients and the duration of symptoms in our study (Table II).…”

“…Carpal tunnel syndrome is shown to have a higher incidence rate in employed patients than in unemployed persons. [2,3,7,[16][17][18][19] It has been shown that occupational exposure to excess vibration, increased hand force and repetition increases the risk of developing CTS in a meta-analysis investigating the relationship between CTS and occupation. [20] Lengthy exposure to high repetitive hand and wrist movements, high range wrist action, constant extreme wrist position, using handheld vibrating tools, work involving frozen food and availability of protection have been shown to be the key occupational points to consider in determining work liability for CTS.…”

“…The incidence of CTS has been estimated at 1% in the general population and 5% among workers in certain industries requiring repetitive hand and wrist use. [3] Many physical factors such as repetition, force, posture, vibration, cold environment and pressure have been considered as possible risk factors for work related CTS. [4] Manual tea harvesting requires repetitive and powerful use of wrist extensor muscles and finger flexor muscles while harvesting tea with a tool called tea scissors, and appears to be a specific risk factor for work related CTS (Figure 1).…”

Prevalence and work‐relatedness of carpal tunnel syndrome in the working population, United States, 2010 national health interview survey

“…They suggest that calculating attributable fractions to estimate excess risk is more meaningful [Palmer et al, 2008;Roquelaure et al, 2008]. We plan to calculate attributable fractions in future analyses.…”

Demographic and electrophysiological characteristics of patients with prediagnosis of carpal tunnel syndrome admitted to electromyography laboratory

“…KTS için risk faktörleri kadın cinsiyet, ileri yaş, obezite, yüksek vücut kitle indeksi (VKİ), gebelik, diyabetes mellitus, renal hastalıklar, hipotiroidi, amiloidoz, akromegali ve konnektif doku hastalıklarıdır (3). Ayrıca tekrarlayıcı el hareketleri ile ilişkili mesleki faktörler de son yıllarda göze çarpan önemli risk faktörleridir (4). Klinik olarak ilk üç parmakta uyuşma, bilek ile ön kolda ağrı ve güçsüzlük ayrıca tenar bölgede atrofi gibi yakınmalar görülür.…”