Etiological Factors of Carpal Tunnel Syndrome in Subjects Occupationally Exposed to Monotype Wrist Movements

Lewańska, Magdalena; Walusiak‐Skorupa, Jolanta

doi:10.13075/mp.5893.2014.027

Cited by 4 publications

(4 citation statements)

References 23 publications

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“… 15 In a retrospective analysis of 92 patients with a mean age of 49 years, 95.65% were female. 16 Lewańska and Walusiak-Skorupa 17 reported on 300 patients with CTS aged 52.00±6.93 years, of whom 261 were female. Similar to these findings, 70% of the patients in the present study were female, and they were aged 51.61±11.86 years.…”

Section: Discussionmentioning

confidence: 99%

“…Diabetes mellitus, obesity, and hypercholesterolemia which are the components of metabolic syndrome, have been reported as risk factors for CTS. 13 17 Hypercholesterolemia-and especially high LDL-C-has been associated with fibrogenesis. In idiopathic CTS, the proliferation of intraneural connective tissue causes enlargement of the median nerve within the carpal tunnel.…”

Section: Discussionmentioning

confidence: 99%

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On the Severity of Carpal Tunnel Syndrome: Diabetes or Metabolic Syndrome

et al. 2015

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Background and PurposeCarpal tunnel syndrome (CTS) is the most common entrapment neuropathy. Although its etiology is unknown, certain conditions are commonly associated with CTS, such as obesity, arthritis, hypothyroidism, diabetes mellitus, trauma, mass lesions, amyloidosis, and sarcoidosis. We aimed to determine the association between metabolic syndrome and CTS, and we compared the severity of CTS between patients with diabetes (and no concomitant metabolic syndrome) and patients with metabolic syndrome.MethodsTwo hundred patients with a clinically and electrophysiological confirmed diagnosis of CTS were included in the study. Their demographic characteristics and severity of CTS were analyzed according to the presence or the absence of metabolic syndrome. Differences in the electrophysiological findings were evaluated between the following four groups: 1) metabolic syndrome alone (n=52), 2) diabetes alone (n=20), 3) combined metabolic syndrome and diabetes (n=44), and 4) no metabolic syndrome or diabetes (n=84).ResultsCTS was more severe in the patients with metabolic syndrome than those without this syndrome. The electrophysiological findings were worse in patients with metabolic syndrome alone than in those with diabetes alone and those without diabetes and metabolic syndrome.ConclusionsCTS appears to be more severe in patients with metabolic syndrome than patients with diabetes. Diabetes is one of the well-known risk factors for CTS, but other components of metabolic syndrome may have a greater effect on the severity of CTS.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

On the Severity of Carpal Tunnel Syndrome: Diabetes or Metabolic Syndrome

et al. 2015

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“…Carpal tunnel syndrome (CTS) is the most common neuropathy of the upper extremity, accounting for more than 90% of all nerve entrapment syndromes [1][2][3][4][5]. The carpal tunnel is a fibro-osseous structure made up of carpal bones bridged over by the transverse carpal ligament.…”

Section: Introductionmentioning

confidence: 99%

“…In the Czech Republic, standard methods have been established that include the procedure and conditions for electromyography (EMG) to determine the severity of isolated CTS [7]. In addition to common risk factors such as age, gender, obesity, thyroid disease, hormone replacement therapy, diabetes mellitus or mental stress, occupation also plays a role in the development of CTS [1,[8][9][10][11][12][13]. The prevalence of CTS is significantly higher in manual workers than in the general population.…”

Section: Introductionmentioning

confidence: 99%

Experiences with preventing carpal tunnel syndrome in an automotive plant

Žídková¹,

Nakládalová²,

Zapletalová³

et al. 2017

Int J Occup Med Environ Health

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Objectives: Carpal tunnel syndrome (CTS) is a common occupational disease. The aim was to assess the effect of preventive measures in automotive assembly workers. Material and Methods: The analysis summarizes data from annual crosssectional studies. The 7-year analysis of data was based on medical records obtained from an occupational physician and inspections carried out at the workplace where targeted preventive measures were introduced, including better ergonomic arrangement of the workplace, technical adjustments facilitating the work, preventive nerve conduction studies (NCS) testing of the median nerve once a year, switching of workers and their targeted rotation within the workplace. The NCS testing of median nerve conduction at the wrist was the basic objective method for assessment of the prevalence and severity of CTS. Over the study period, the sample comprised 1804 workers at risk for repetitive overuse of the upper extremities, of whom 281 were females with a mean age of 38.5 years and 1523 were males with a mean age of 31.4 years. Results: Over the study period, a total of 13 cases of CTS were recognized as an occupational disease in the plant, 8 of which occurred within the first 2 years from the initiation of production. Introduction of preventive measures decreased the prevalence of median neuropathy from 18.3% of examined extremities in 2011 to 10.5% in 2013 (p = 0.003). In early 2014, the production pace increased and this was accompanied by a rise in abnormal NCS findings to 16.9%. Over the study period, the rate of sensorimotor neuropathy decreased in favor of merely sensory neuropathies, which have been most frequent since 2013. The percentage of employees whose contracts were terminated due to median neuropathy decreased steadily from 5.5% to 0.4%. Conclusions: Targeted prevention of work-related CTS is effective as evidenced by the decrease in the prevalence of median neuropathy detected by NCS. Int J Occup Med Environ Health 2017;30(1):45-54

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