Personal factors associated with carpal tunnel syndrome (CTS): a case-control study

Abstract

Background Carpal tunnel syndrome (CTS) is one of the most common nerve entrapments in the upper limb. In Saudi Arabia, few studies have investigated CTS in the general population. This study aimed to determine the association between personal factors and CTS. Methods A case-control study involved adults aged 18 and above. Cases were recruited from electrophysiology lab records as consecutive case series, while controls were individuals who were free of CTS symptoms according to the Boston Carpal Tunnel Questionnaire (BCTQ). The electronic medical records of participants were reviewed to obtain age, height, weight, medical conditions, and mobile numbers. Cases and controls were contacted via phone to complete a questionnaire that was designed based on previous literature. We used multivariate binary logistic regression to identify the personal factors significantly associated with CTS. Results A total of 95 cases and 190 controls were included. Most of the participants were female (84.2%) and Saudi (93%). Most of cases were above 45 years of age (73.7%), while 84.7% were 45 year – old or younger among the control group. Stratified logistic regression showed that performance of household chores was significantly associated with CTS. While physical exercise associated with decreased odds of CTS. Conclusions This study adds to the body of evidence on personal factors associated with CTS. However, the degree of differences in the age structure of the cases compared with the controls suggest that there is a considerable potential for residual confounding affecting the results. Trial registration number Not applicable.

A Clinical Outcome of Median Nerve Neurolysis For the Treatment of Carpal Tunnel Syndrome: Conventional S-Shaped Versus Transwrist Mini-Incision Techniques

“…The current work showed that, middle aged patients were affected with female sex predominance by CTS. This is in line with previous studies indicated that, CTS affected the middle-aged females [18][19][20][21] .…”

Prevalence of Carpal Tunnel Syndrome and its associated factors among patients with musculoskeletal compliant at Dilchora Referral Hospitals in Dire Dawa administration, Eastern Ethiopia, 2022

“…According to the results of the current study, those who have never exercised are 6.23 times more likely to develop carpal tunnel syndrome than people who engage in physical exercise. Such a finding is consistent with the results of studies conducted in Saudi Arabia that showed the odds of having CTS was less than 1 among participants performing physical exercise occasionally (OR=0.11) (27). The result of this study is also supported by the findings of a case-control study conducted in the United States reporting that the odds of having CTS were significantly decreased .…”

High frequency of carpal tunnel syndrome and associated factors: A cross-sectional study in Peruvian workers from agro-export industry

“…Our results showed that the higher frequency of repetitive wrist movements was associated with CTS in model 3, according to what has been reported in various studies. [11][12][13] In this regard, a study on Italian workers from meat processing industries showed that prolonged wrist vending was related to an increased CTS diagnosis (adjusted OR = 2.561, 95% CI: 1.10-5.96). [25] Likewise, a study reported that the prevalence of CTS among US dairy parlor workers was 16.6% and 3.6% among non-parlor workers, with a statistically significant difference (adjusted OR = 5.3, 95% CI: 1.1-25.5).…”

“…[10] Performing manual tasks that involve repeated flexion, extension, or ulnar deviation of the wrist, vibrations, and mechanical stress on the palmar base increases the risk of CTS. [11][12][13] In this sense, CTS can manifest in both white-collar and blue-collar workers engaged in manual activities, [14] encompassing cooks, cashiers, hairdressers, weavers, musicians, seamstresses, and other workers. [15] The labor aspects associated with the development of STC described above lead us to consider farmers and the activities they carry out as potential triggers for STC.…”