Carpal tunnel syndrome – Part I (anatomy, physiology, etiology and diagnosis)

Chammas, Michel; Boretto, Jorge G.; Burmann, Lauren Marquardt; Ramos, Renato Matta; Neto, Francisco Carlos dos Santos; Silva, Jefferson Braga

doi:10.1016/j.rboe.2014.08.001

Cited by 100 publications

(145 citation statements)

References 66 publications

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“…Mild CTS cases are There were more female subjects in this study. However, CTS incidence is reported to be significantly higher in female population (29). Therefore, we did not need equal numbers of males and females in the control group to avoid bias.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Interpolation Methods in the Diagnosis of Carpal Tunnel Syndrome

Alcan¹,

Zinnuroğlu²,

Karataş³

et al. 2018

Balkan Med J

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Section: Discussionmentioning

confidence: 99%

Comparison of Interpolation Methods in the Diagnosis of Carpal Tunnel Syndrome

Alcan¹,

Zinnuroğlu²,

Karataş³

et al. 2018

Balkan Med J

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“…Repetitive extension and flexion movements of the wrist, along with flexion of the fingers and supination of the forearm, have been implicated in this increase risk. 16 The result of bivariate analysis showed no significant relation between repetitive movement and carpal tunnel syndrome (p value = 0.423). These results were inversely with the data of repetitive movement, that mostly food-packing workers performed repetitive movement more than 10 times in one minute (72%).…”

Section: Discussionmentioning

confidence: 92%

Risk Factors of Carpal Tunnel Syndrome in Food-Packing Workers Karanganyar

Setyawan

2017

Kesmas: National Public Health Journal

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Carpal Tunnel Syndrome occurs when the median nerve, which runs from the forearm into the hand, suffers pressure or is squeezed in the wrist. The results may be pain, weakness, or numbness in the hand and wrist, radiating up to the arm. This study aimed to examine the risk factors i.e age, sex, work period and repetitive movements toward Carpal Tunnel Syndrome complaints among food-packing workers in Karanganyar. The study was conducted in October to December 2014 that used analytic observational design with cross sectional study. Samples were 50 of 67 food-packing workers in Jaten Karanganyar industrial area as taken by using simple random sampling technique. Data were analyzed using chi square and multivariate logistic regression. Results showed that age and sex had significant relation with Carpal Tunnel Syndrome and age was the most influential factor 24 times to increased risk of Carpal Tunnel Syndrome (p value = 0.057, Exp. β = 24.965). Keywords: Age, carpal tunnel syndrome, food-packing workers, repetitive movement, sex Abstrak Carpal Tunnel Syndrome terjadi ketika saraf median, yang membentang dari lengan bawah ke tangan, mengalami tekanan atau terpuntir di pergelangan tangan. Hasilnya mungkin sakit, kelemahan atau mati rasa di tangan dan pergelangan tangan, yang memancar ke lengan tangan. Penelitian ini bertujuan untuk mengkaji faktor risiko usia, jenis kelamin, masa kerja dan gerakan repetitif terhadap keluhan Carpal Tunnel Syndrome pada pekerja pengepakan makanan di Karanganyar. Penelitian ini dilaksanakan pada bulan Oktober -Desember 2014 menggunakan desain observasional analitik dengan penelitian potong lintang. Sampel terdiri dari 50 orang dari total 67 pekerja pengepak makanan di kawasan industri Jaten Karanganyar yang diambil dengan menggunakan teknik simple random sampling. Data penelitian diolah menggunakan uji kai kuadrat dan regresi logistik multivariat. Hasil penelitian menunjukkan bahwa usia dan jenis kelamin signifikan berhubungan dengan keluhan Carpal Tunnel Syndrome, dan usia merupakan faktor yang paling berpengaruh 24 kali lipat untuk meningkatkan risiko terjadinya Carpal Tunnel Syndrome (nilai p = 0.057, Exp. β = 24.965). Kata kunci: Usia, carpal tunnel syndrome, pekerja pengepakan makanan, gerakan repetitif, jenis kelamin

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“…Atrophy is typically located in the thenar muscles (''ape hand'' deformity). Although not innerved by the median nerve, atrophy also occurs in IOM muscles innerved by the ulnar nerve [13,14].…”

Section: Discussionmentioning

confidence: 99%

Can decrease in hand grip strength in carpal tunnel syndrome be explained by interosseous muscle and intermetacarpal space dimensions?

Gökharman

Ramadan²,

Aydın

et al. 2017

The European Research Journal

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Objectives. To investigate the correlation of the grip strength with sonographic measurement of interosseous muscle (IOM) and intermetacarpal space (IMS) of the hands in carpal tunnel syndrome (CTS) patients. Methods. A total of 96 hands of 48 female patients constituted the study group. Of those, 36 hands of 18 patients (mean age: 50.2 ± 9 years) had CTS confirmed by electro-diagnostic tests. Sixty hands of 30 healthy volunteers (mean age: 45.2 ± 9.7 years) constituted the control group. Grip strength was assessed by Jamar hand dynamometer. IOM and IMS dimensions for all hands were measured sonographically at three levels (2 nd , 3 rd and 4 th intermetacarpal; palmar side for IMS, dorsal side for IOM) by the same radiologist. Spearman and Mann Whitney U tests were used for statistical analysis. Results. The median hand grip strength was determined as 11.3 kg (min-max = 7.2-18.1 kg) in the CTS group and 19.5 kg (min-max = 7.8-30.5 kg) in the control group, with a statistical difference between the two groups (p < 0.03). In both groups, there was a positive correlation between the IOM-IMS dimensions and grip strength (p < 0.05). Sonographically, IOM-IMS measurements in CTS group were significantly lower than control group (p < 0.01). Conclusion. To our knowledge, this is the first study evaluating the correlation of grip strength and the sonographic IOM-IMS measurements in CTS patients. The muscular atrophy, which is generally a finding of advanced disease, may be revealed by sonographical measurements earlier than the physical examination findings.

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Carpal tunnel syndrome – Part I (anatomy, physiology, etiology and diagnosis)

Cited by 100 publications

References 66 publications

Comparison of Interpolation Methods in the Diagnosis of Carpal Tunnel Syndrome

Comparison of Interpolation Methods in the Diagnosis of Carpal Tunnel Syndrome

Risk Factors of Carpal Tunnel Syndrome in Food-Packing Workers Karanganyar

Can decrease in hand grip strength in carpal tunnel syndrome be explained by interosseous muscle and intermetacarpal space dimensions?

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