RETRACTED ARTICLE: Carpal tunnel syndrome in patients who are receiving long-term renal hemodialysis

Namazi, Hamid; Majd, Zahra

doi:10.1007/s00402-007-0350-7

Cited by 28 publications

(21 citation statements)

References 12 publications

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“…In a report on the association between CTS and A-V fistulas in patients on HD (13), clinical CTS was more frequently diagnosed in the wrist with an A-V fistula; however, electrodiagnostic studies did not indicate any significant association between the frequency of CTS and the A-V fistula or its duration. Such reports raise questions about the validity of electrodiagnostic results in patients with an A-V fistula, because of the discrepancy between the clinical and electrodiagnostic findings.…”

Section: Discussionmentioning

confidence: 92%

“…Similarly, the electrodiagnostic confirmation of CTS was not associated with the type of dialysis in this study. Many investigators have reported a positive correlation between the frequency of CTS and the duration of HD (3, 5), and have also reported that the side of the A-V fistula could affect the frequency of CTS (12, 13). However, the results of this study do not reveal the relationship between the frequency of electrodiagnostic CTS and the duration of ESKD, dialysis, and the side of the A-V fistula.…”

Section: Discussionmentioning

confidence: 99%

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Carpal Tunnel Syndrome and Peripheral Polyneuropathy in Patients with End Stage Kidney Disease

et al. 2011

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This study was designed to identify the causes of the development of carpal tunnel syndrome (CTS) associated with end stage kidney disease (ESKD). A total of 112 patients with ESKD, 64 on hemodialysis (HD) and 48 on peritoneal dialysis (PD), were enrolled. The duration of ESKD and dialysis, the site of the arteriovenous (A-V) fistula for HD, laboratory data such as blood urea nitrogen, creatinine, and beta-2-microglobulin were determined. Clinical evaluation of CTS and electrophysiological studies for the diagnosis of CTS and peripheral neuropathy were performed. The electrophysiological studies showed that the frequency of CTS was not different in the HD and PD groups (P = 0.823) and the frequency of CTS was not different in the limb with the A-V fistula compared to the contralateral limb (P = 0.816). The frequency of HD and PD were not related to beta-2-microglobulin levels, an indicator of amyloidosis. The frequency of CTS did not increase as the severity of the peripheral neuropathy and the duration of ESKD and dialysis increased (P = 0.307). The results of this study do not support that microglobulin induced amyloidosis or placement of an A-V fistula are associated with an increase in CTS.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Carpal Tunnel Syndrome and Peripheral Polyneuropathy in Patients with End Stage Kidney Disease

et al. 2011

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“…Prevalence of CTS in the wrist where the AV fistula was located did not fulfill the criteria for statistical significance. A relationship between CTS and the AV fistula location has been postulated in many publications [6,13,16–18]. The pathomechanism of CTS in hemodialysed patients appears to be complicated.…”

Section: Discussionmentioning

confidence: 98%

Carpal tunnel syndrome in hemodialysis patients as a dialysis-related amyloidosis manifestation – incidence, risk factors and results of surgical treatment

et al. 2011

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SummaryBackgroundCarpal tunnel syndrome (CTS) is the most common complication of dialysis-related amyloidosis (DRA) developing in patients on long-term dialysis therapy. The aim of this study was to evaluate the incidence of CTS and identify factors influencing the development of CTS in patients on maintenance hemodialysis, as well as results of its surgical treatment.Material/MethodsThe study included 386 patients, among whom CTS was diagnosed in 40 patients (10.4%) on the basis of signs and physical symptoms, as well as by nerve conduction. The group of patients with CTS and the group of patients without CTS were compared according to age (mean 54.50 vs. 56.48 years) and duration of dialysis treatment. Initial analysis of CTS incidence by sex, presence of anti-HCV antibodies, and location of arterio-venous fistula (AV fistula) was undertaken.ResultsDuration of dialysis treatment was the statistically significant risk factor for the development of CTS (16.05 vs. 4.51 years; p<0.0001). Among patients treated for a long period on hemodialysis (20–30 years), 100% required surgical release procedures, while 66.66% of those treated for 15–19 years, 42.1% of those treated for 10–14 years, and 1.6% of those treated for less than 10 years. CTS was diagnosed more often in anti-HCV-positive patients as compared with anti-HCV-negative patients (47.5 vs. 6.9%; p<0.0001). No significant differences were found when comparing CTS incidence by sex or between the development of CTS requiring surgical release intervention and location of the AV fistula.ConclusionsSurgical release procedure of the carpal tunnel gave good treatment results in patients with CTS.

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“…La prévalence de 30,5% du SCC chez nos patients hémodialysés chroniques concorde avec la série tunisienne de Namazi et al en 2007 (42,7%) [9], alors qu'elle est plus élevée en comparaison avec la série américaine de Gilbert et al en 1988 (9%) [10], et celle Allemande de Schwalb et al en 1996 (16,3%) [11]. Cette variabilité peut être expliquée par la différence de la durée de dialyse dans ces études, grâce à l'amélioration de la survie des patients au fil des années ainsi que par la disparité des critères (cliniques, élecrophysiologiques, ou histologiques) considérés pour le diagnostic du SCC dans les séries.…”

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Le syndrome du canal carpien chez les patients hémodialysés chroniques

Mbarki¹,

Akrichi²,

Lazrak³

et al. 2013

Pan Afr Med J

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Le syndrome du canal carpien (SCC) regroupe l'ensemble des signes et symptômes liés à la compression du nerf médian dans le canal carpien. Cette manifestation de l'amylose à béta2-microglobuline est une complication fréquente de l'hémodialyse au long cours. L'objectif de ce travail est d'analyser les caractéristiques du SCC et de déterminer les facteurs liés à sa survenue chez les hémodialysés chroniques. Nous rapportons une étude transversale monocentrique, menée au 3ème trimestre de l'année 2009, portant sur les patients adultes hémodialysés chroniques au service de Néphrologie-Hémodialyse au CHU de Fès. 59 patients ont accepté de participer à l'étude. Leurs âge moyen est de 48 ± 15 ans avec un sex-ratio de 0,9. Ils bénéficient tous de l'hémodialyse intermittente à raison de 10 à 12 heures par semaine, par une membrane de dialyse en polysulfone à basse perméabilité. La durée moyenne en hémodialyse est de 83 ± 6,5 mois. La prévalence du SCC dans notre centre est de 30,5%. L'électromyogramme (EMG) a confirmé la suspicion clinique du SCC chez 11 patients et a diagnostiqué un SCC chez 8 patients asymptomatiques. La comparaison statistique entre les deux groupes de patients avec et sans SCC a démontré que la survenue de ce syndrome est liée à: l'âge actuel, l'âge avancé à la mise en hémodialyse, le sexe féminin, l'excès pondéral, et l'abord vasculaire. Le SCC est une complication fréquente de l'hémodialyse chronique. L'amélioration de la qualité de dialyse permettrait de réduire le risque de survenue du SCC.

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RETRACTED ARTICLE: Carpal tunnel syndrome in patients who are receiving long-term renal hemodialysis

Abstract: Hemodialysis patients are at considerable risk of developing carpal tunnel syndrome in the wrist with an arteriovenous fistula. Close observation and routine clinical examination is mandatory to prevent further problems.

Cited by 28 publications

References 12 publications

Carpal Tunnel Syndrome and Peripheral Polyneuropathy in Patients with End Stage Kidney Disease

Carpal Tunnel Syndrome and Peripheral Polyneuropathy in Patients with End Stage Kidney Disease

Carpal tunnel syndrome in hemodialysis patients as a dialysis-related amyloidosis manifestation – incidence, risk factors and results of surgical treatment

Le syndrome du canal carpien chez les patients hémodialysés chroniques

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