Risk Factors in Carpal Tunnel Syndrome

Geoghegan, John M.; Clark, David; Bainbridge, L. C.; Smith, Christopher J.; Hubbard, Richard

doi:10.1016/j.jhsb.2004.02.009

Cited by 291 publications

(180 citation statements)

References 28 publications

(92 reference statements)

Supporting

Mentioning

147

Contrasting

Unclassified

Order By: Relevance

“…In addition, female cadavers were found to have a greater tilt angle than male cadavers. A higher disposition towards CTS in females [6] may be related to these morphologic differences. Although females have been shown to have smaller carpal tunnels than men, the carpal tunnel contents have also been shown to be proportionally smaller in women [2].…”

Section: Discussionmentioning

confidence: 97%

Morphological Analysis of the Carpal Tunnel

Pacek

Tang

Goitz

et al. 2009

Hand (New York, N,Y.)

View full text Add to dashboard Cite

Although carpal tunnel release is one of the most commonly performed procedures in the USA, the morphology of the carpal tunnel as determined previously in the literature has been questioned. Previous methodology has been questioned for accuracy by recent studies. The purpose of this study was to perform a morphological analysis of the carpal tunnel and correlate carpal tunnel and hand dimensions. The carpal tunnels of ten cadaveric specimens were emptied of their contents and a silicone cast of the carpal tunnel was then created. This cast was then digitized, and the dimensions of the carpal tunnel were calculated. These dimensions were compared with the measured hand dimensions of the specimens. The width, depth, tilt angle, length, cross-sectional area, and volume of the carpal tunnel were 19.2 ± 1.7 mm, 8.3 ± 0.9 mm, 14.8 ± 7.8°, 12.7 ± 2.5 mm, 134.9 ± 23.6 mm 2 , and 1,737 ± 542 mm 3 , respectively. Width, depth, and cross-sectional area did not change significantly along the length of the carpal tunnel, but tilt angle did. The width of the palm strongly correlates with the width of the carpal tunnel. Other dimensional correlations did not reach statistical significance. The carpal tunnel is of uniform dimension along its length. The long axis of the carpal tunnel in cross-section rotates volarly from the radial side of the hand increasingly with distal progression along the carpal tunnel. Based on our analysis of ten cadaveric specimens, the width of the carpal tunnel may be estimated by the width of the palm using the equation: Width CT ¼ 1:285 þ 0:236 Â Width palm .

show abstract

Section: Discussionmentioning

confidence: 97%

Morphological Analysis of the Carpal Tunnel

Pacek

Tang

Goitz

et al. 2009

Hand (New York, N,Y.)

View full text Add to dashboard Cite

show abstract

“…In a large case-control study using the UK General Practice Database, obesity was a significant risk factor associated with carpal tunnel syndrome (OR ¼ 2.06). 110 Obesity has been shown to be an independent risk factor for carpel tunnel syndrome in a number of studies. 111,112 There is also an association between obesity and shoulder repair surgery for rotator cuff and other conditions, suggesting that increasing BMI is a risk factor for rotator cuff tendonitis and related conditions.…”

Section: Soft Tissue Complaintsmentioning

confidence: 99%

The impact of obesity on the musculoskeletal system

et al. 2007

View full text Add to dashboard Cite

Obesity is associated with a range of disabling musculoskeletal conditions in adults. As the prevalence of obesity increases, the societal burden of these chronic musculosketelal conditions, in terms of disability, health-related quality of life, and health-care costs, also increases. Research exploring the nature and strength of the associations between obesity and musculoskeletal conditions is accumulating, providing a better understanding of underlying mechanisms. Weight reduction is important in ameliorating some of the manifestations of musculoskeletal disease and improving function.

show abstract

“…In a number of case-control studies, obesity was strongly associated with CTS and was independent of diabetes mellitus as a risk factor. [11][12][13] The literature associating obesity and LBP is limited. In a longitudinal study of weight and magnetic resonance imaging findings in the lumbar spine, persistent weight 425 kg/m 2 was associated with an increased risk of degenerative discs, but no clinical correlations were made.…”

Section: Introductionmentioning

confidence: 99%

Musculoskeletal findings in obese subjects before and after weight loss following bariatric surgery

et al. 2006

View full text Add to dashboard Cite

Objective: To determine the point prevalence of painful musculoskeletal (MSK) conditions in obese subjects before and after weight loss following bariatric surgery. Design: Longitudinal, interventional, unblended. Subjects: Forty-eight obese subjects (47 women, one man, mean age 4479 years; mean body mass index (BMI) 5178 kg/m 2 ) recruited from an academic medical center bariatric surgery program. Measurements: Comorbid medical conditions; MSK findings; BMI; Western Ontario McMaster Osteoarthritis Index (WOMAC) for pain, stiffness and function; and SF-36 s for quality of life. Methods: Consecutive subjects were recruited from the University Hospitals of Cleveland Bariatric Surgery Program. Musculoskeletal signs and symptoms and non-MSK comorbid conditions were documented at baseline and at follow-up. Subjects completed the SF-36 s and the WOMAC questionnaires. Analyses were carried out for each MSK site, fibromyalgia syndrome (FMS) and for the cumulative effect on the spine, upper and lower extremities. The impact of change in comorbid medical conditions, BMI, physical and mental health domains of the SF-36 s on the WOMAC pain subscale score was evaluated. SF-36 s outcomes were compared to normal published controls. Results: Forty-eight subjects were available for baseline and a follow-up assessment 6-12 months after gastric bypass surgery. They lost an average of 41715 kg and the mean BMI decreased from 5178 to 3677 kg/m 2 . Baseline comorbid medical conditions were present in 96% before surgery and 23% after weight loss. There was an increased prevalence of painful MSK conditions at baseline compared to general population frequencies. Musculoskeletal complaints had been present in 100% of obese subjects before, and 23% after weight loss. The greatest improvements occurred in the cervical and lumbar spine, the foot and in FMS (decreased by 90, 83, 83 and 92%, respectively). Seventy-nine percent had upper extremity MSK conditions before and 40% after weight loss. Before surgery, 100% had lower extremity MSK conditions and only 37% did after weight loss. The WOMAC subscale and composite scores all improved significantly, as did the SF-36 s . Change in BMI was the main factor impacting the WOMAC pain score. Conclusion: There was a higher frequency of multiple MSK complaints, including non-weight-bearing sites compared to historical controls, before surgery, which decreased significantly at most sites following weight loss and physical activity. These benefits may improve further, as weight loss may continue for up to 24 months. The benefits seen with weight loss indicate that prevention and treatment of obesity can improve MSK health and function.

show abstract

Risk Factors in Carpal Tunnel Syndrome

Cited by 291 publications

References 28 publications

Morphological Analysis of the Carpal Tunnel

Morphological Analysis of the Carpal Tunnel

The impact of obesity on the musculoskeletal system

Musculoskeletal findings in obese subjects before and after weight loss following bariatric surgery

Contact Info

Product

Resources

About