Carpal tunnel syndrome and ulnar neuropathy at the elbow in floor cleaners

The Prevalence of Cubital Tunnel Syndrome: A Cross-Sectional Study in a U.S. Metropolitan Cohort

“…When using either lax or strict criteria, we did not observe significant differences in the prevalence rates for carpal tunnel syndrome or cubital tunnel syndrome. This finding is notable, given the thirteenfold lower prevalence rate for cubital tunnel syndrome that has been previously reported 2 . We also noted concurrent median and ulnar nerve symptoms in 69% of subjects, indicating the possibility of either pathophysiologic predisposition or symptomatic overlap among affected individuals.…”

“…Prior studies have suggested that cubital tunnel syndrome is the second most prevalent focal peripheral mononeuropathy after carpal tunnel syndrome 2 ; however, to our knowledge, the evidence in support of this statement is limited. Retrospective, passive surveillance studies of cubital tunnel syndrome incidence rates have been performed in a small Italian province 3 and in a Workers' Compensation cohort in Washington State 4 .…”

“…However, these incidence rates, which vary widely from 24.7 to 800 of 100,000 person-years 2,5 , are poorly generalizable because of heterogeneity in design, diagnostic methods, and populations studied. This study used population-based active surveillance to elicit reports of symptoms and found a high prevalence of symptomatic individuals in the general population.…”

“…Retrospective, passive surveillance studies of cubital tunnel syndrome incidence rates have been performed in a small Italian province 3 and in a Workers' Compensation cohort in Washington State 4 . Prospective, active surveillance studies of prevalence rates have only been performed in at-risk occupational cohorts 2,5 . The interpretation of disease burden within any population subgroup is challenging without an estimate of prevalence from the general population.…”

Peripheral Nerve Entrapment and their Surgical Treatment

“…It is more common in jobs with constant leaning on the elbow (i.e. book keepers, drivers resting the elbow on the window frame) [73], gripping tools (gardeners, farmers, builders) [74], professional motorbike runners, cyclist [75,76], repetitive elbow flexoextension [73,74] and in floor cleaners [73,77]. It is also more frequent in some systemic disorders like diabetes mellitus [16], acromegaly [78], rheumatoid arthritis [79] or amyloidosis [80].…”