Carpal Tunnel Syndrome: Demographic Evaluation of 126 Cases

Year 2014, Volume: 11 Issue: 3, 242 - 246, 15.12.2014

Yılmaz İnanç , Yusuf İnanç , Halil Ay , Zülfikar Arlier Özcan Kocatürk

Abstract

Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy. Carpal tunnel syndrome is a
compression neuropathy which occurs due to compression of median nerve at the wrist level. CTS is most
commonly seen in women over 30 years of age, frequently bilaterally, with nocturnal pain, paresthesia and/or
sensory deficit in the median nerve innervated region of the hand. CTS is a clinical diagnosis based on the
patient's history and physical examination; electrodiagnostic tests including nerve conduction studies and
needle electromyography are the most commonly used auxillary diagnostic methods.

Keywords

Carpal tunnel syndrome, electromyography, demographic characteristics

Karpal Tünel Sendromu: 126 Olgunun Demoğrafik Açıdan Değerlendirilmesi

Abstract

Karpal tünel sendromu (KTS) en sık rastlanan tuzak nöropatidir. Karpal tünel sendromu, median sinirin el
bileği düzeyinde tuzaklanmasına bağlı gelişen kompresyon nöropatisidir. En sık 30 yaşından büyük
kadınlarda, sıklıkla çift taraflı olarak, median sinirin elde inervasyon alanına uyan bölgede geceleri ortaya
çıkan ya da artan ağrı, uyuşma, ve/veya duyu kaybı belirtileri ile görülür. KTS hastanın öyküsü ve fizik
muayenesi ile ulaşılan bir klinik tanıdır ve sinir ileti çalışmalarına ilave iğne elektromiyografisinden oluşan
elektrodiagnostik incelemeler tanıda en sık kullanılan yardımcı yöntemlerdir.

Keywords

Karpal tünel sendromu, elektromiyografi, demoğrafik özellikler

References

• 1) Robinson LR. Role of neurophysiological evaluation in diagnosis. J Am Acad Ortop Surg. 2000;8:190-9. 2) Provinciali L, Giattini A, Splendiani G et al.Usefulness of hand rehabilitation after carpal tunnel surgery. Muscle and Nerve, 2000; 23: 211-6. 3) Ferry S, Hannaford P, Warskyj M, Lewis M, Croft P. Carpal tunnel syndrome: a nested case-control study of risk factors in women. Am J Epidemiol 2000; 151(6): 566-74. 4) Provinciali L, Giattini A, Splendiani G, Logullo F. Usefulness of hand rehabilitation after carpal tunnel surgery. Muscle Nerve 2000;23:211-6. 5) Krom MC, Knipschild PG, Kester AD, Thijs CT, Boekkooi PF, Spaans F.Carpal tunnel syndrome: prevalence in the general population. J Clin Epidemiol.1992;45(4):373-6. 6) Radecki P. Carpal tunnel syndrome. Effects of personal factors and associated medical conditions. Phys Med Rehabil Clin N Am 1997; 8: 419–7. 7) Kouyoumdjian JA, Zanetta DMT, Morita MPA. Evaluation of age, body mass index, and wrist index as risk factors for carpal tunnel syndrome severity. muscle Nerve 2002; 25: 93–7. 8) Becker J, Nora DB, Gomes I, Stringari FF, Seitensus R, Panosso JS, Ehlers JAC. An evaluation of gender, obesity, age and diabetes mellitus as risk factors for carpal tunnel syndrome. Clin Neurophysiol 2002; 113: 1429-34. 9) Geoghegan JM, Clark DI, Bainbridge LC, Smith C, Hubbard R. Risk factors in carpal tunnel syndrome. J Hand Surg (Br) 2004; 29: 315-20 10) Zambelis T, Tsivgoulis G, Karandreas N. Carpal Tunnel Syndrome: Associations Between Risk Factors and Laterality. Eur Neurol. 2010;63:43–7. 11) Kurt S, Kisacik B, Kaplan Y, Yildirim B, Etikan I, Karaer H. Obesity and Carpal Tunnel Syndrome:Is There a Causal Relationship? Eur Neurol.2008;59:253–57. 12) Lam N, Thurston A. Association of obesity, gender, age and occupation with carpal tunnel syndrome. Aust N Z J Surg. 1998;68:190-3. 13) Phalen G.S. The carpal tunnel syndrome. 17 years' experience in diagnosis and treatment of 654 hands. J. Bone Jt Surg. 1966;48: 211-28. 14) Bruce W, Conolly WB, McKessar JH. Carpal tunnel syndrome. Can it be a work related condition? Australian Family Physician. 2009;38(9):684-6. 15) Mondelli M, Aprile I, Ballerini M, Ginanneschi F, Reale F, Romano C et al. Sex differences in carpal tunnel syndrome: comparison of surgical and non-surgical populations. Eur J Neurol. 2005;12(12):976-83. 16) Nathan PA, Kenneth DM, Doyle LS. Relationship of age and sex to sensory conduction of the median nerve at the carpal tunnel and association of slowed conduction with the symptoms. Muscle Nevre 1988; 11: 1149-53. 17) Padua L, Padua R, Aprıle I, Tonalı P. Italian multicentre study of carpal tunnel syndrome. J Hand Surg (Br) 1999; 24(5): 579-82. 18) Gül Aİ,Alp R,Özcan Ç,Palancı Y. Karpal Tünel Sendromu ve Anksiyete İlişkisi ve Bunun Uyku Bozuklukları Üzerine Etkisi.Harran Üniversitesi Tıp Fakültesi Dergisi 2008;5(3):16-20. 19) Gurcay E, Unlu E, Gurcay AG, Tuncay R, Cakci A. Evaluation of the effect of local corticosteroid injection and anti-inflammatory medication in carpal tunnel syndrome. Scott Med J. 2009;54(1):4-6. 20) Padua L, LoMonaco M, Padua R, Gregori B, Tonali P Neurophysiological classification of carpal tunnel syndrome:assessment of 600 symptomatic hands. Ital J.neurol Sci, 1997; 18: 145-50 21) Buschbacher L. Rehabilitaion of patients with peripheral neuropathies In: raddom RL (ed). Physical Medicine and Rehabilitation. Philadelphia: WB Saunders, 2000; 1024-44. 22) Mondelli M, Aprile I, Ballerini M, Ginanneschi F, Reale F, Romano C, Rossi S, Padua L. “Sex differences in carpal tunnel syndrome: comparison of surgical and nonsurgical populations”. Eur J Neurol. 2005; 12:976-83. 23) Vessey MP, Villard-Mackintosh L, Yeates D. “Epidemiology of carpal tunnel syndrome in women of childbearing age. Findings in a large cohort study”. Int J Epidemiol 2000; 19:655-9. 24.Kouyoumdjian JA, Morita MD, Rocha PR, Miranda RC, Gouveia GM. “Body mass index and carpal tunnel syndrome”. Arq Neuropsiquiatr. 2000; 58(2): 252-6. 25. Ozkul Y, Sabuncu T, Kocabey Y, Nazligul Y. Outcomes of carpal tunnel release in diabetic and non-diabetic patients. Acta Neurol Scand 2002;106:168-72. 26. Çakır M, Samancı N, Balcı N, Balcı MK. Musculoskeletal manifestations in patients with thyroid disease Clin Endocrinol 2003;59(2):162-7. 27.Karpitskaya Y, Novak CB, Mackinnon SE. Prevalance of smoking, obesity, diabetes mellitus, and thyroid disease in patients with carpal tunnel syndrome. Ann Plast Surg 2002; 48: 269-73.