Abstract
Background: Carpal Tunnel syndrome (CTS) is the most common entrapment neuropathy in the general population. This study was conducted to find the common clinical presenting feature in electro physiologically diagnosed CTS & to correlate with the socioepidemiologic, associated comorbidities & electrophysiological feature.
Material & Methods: 520 cases both male and females within age group of 18-65 were included in this study. Electro physiologically diagnosed cases of CTS were included in this study. Cases with polyneuropathy were not included in this study. Socioepidemiologic, clinical, laboratory and electrophysiological evaluation done & correlated.
Result: Total number of patients included in the study was 520 out of which female 340 & male 180 with a mean age of presentation was 51.6 year. Most common associated comorbidites were diabetes followed by hypothyroidism. Most common symptoms were pain & paresthesia in hands worsened at night. Bilateral affection were common. Clinical severity correlated with electrophysiological findings.
Conclusion: Carpal tunnel syndrome more commonly found in females. Bilateral affection is common. Common symptom is pain & paresthesia in hands. Diabetes & hypo thyroidism are common comorbid condition.
Keywords: Carpal tunnel syndrome,nerve conduction studies.
References
- Murthy JMK, Meena AK: Carpal tunnel syndrome-Is it really uncommon in India? Neurol India 1995;43:26-28
- Stevens JC, Smith BE, Weaver AL, Bosch EP, Deen HG, Wilkens JA. Symptoms of 100 patients with electromyographically verified carpal tunnel syndrome. Muscle Nerve 1999;22:1448–56
- Becker J, Nora DB, Gomes I, Stringari FF, Seitensus R, Panosso JS, et al. An evaluation of gender, obesity, age and diabetes mellitus as risk factors for carpal tunnel syndrome. Clin Neurophysiol 2002;113:1429–34.
- Katz JN, Stirrat CR, Larson MG, et al. A self-administered hand symptom diagram for the diagnosis and epidemiologic study of carpal tunnel syndrome. J Rheumatol 1990;17:1495–8.
- Quality standards subcommittee of the American Academy of Neurology.Practice parameter for carpal tunnel syndrome. Neurology 1993;43:2406-9.
- Malibary H M,Al-NajjarA T,Yassen D M et al.Clinical profile of carpal tunnel syndrome in a teaching hospital.Pak J Med Sci 2013;29(1):119-21.
- Al-Sulaiman AA, Ismail HM. Carpal tunnel syndrome: a clinical and electrophysiological study of 220 consecutive cases at King Fahd Hospital of the University, Al-Khobar. Saudi Med J. 1997;18(1):59-63
- Shiri R. Hypothyroidism & carpal tunnel syndrome: a meta analysis. Muscle Nerve 2014; 50: 879-83.
- Pourmemari MH, Shiri R. Diabetes as a risk factor for carpal tunnel syndrome: a systematic review and meta-analysis. Diabet Med 2016;33: 10–16.
- Shiri R, Pourmemari MH, Falah-Hassani K, Viikari-Juntura E.The effect of excess body mass on the risk of carpal tunnel syndrome: a meta-analysis of 58 studies. Obes Rev 2015; 16: 1094–104.
- Stapleton MJ. Occupation and Carpal tunnel syndrome.ANZ J Surg 2006;76:494-6
- Caliandro P, La Torre G, Aprile I, et al. distribution of paresthesias in carpal tunnel syndrome refl ects the degree of nerve damage at wrist. Clin Neurophysiol 2006; 117: 228–31.
- Tay LB,Urkude R,Verma KK.Clinical profile,electrodiagnosis and outcome in patients with carpal tunnel syndrome: a Singapore perspective.Singapore Medical J 2006;47(12): 1049-52.
- Bruske J, Bednarski M, Grzelec H, Zyluk A. The usefulness of the Phalen test and the Hoff mann-Tinel sign in the diagnosis of carpal tunnel syndrome. Acta Orthop Belg 2002; 68: 141–45.
- Geere J, Chester R, Kale S, Jerosch-Herold C. Power grip, pinch grip, manual muscle testing or thenar atrophy—which should be assessed as a motor outcome after carpal tunnel decompression?A systematic review. BMC Musculoskelet Disord 2007; 8:
- Jablecki CK, Andary MT, So YT, Wilkins DE, Williams FH. Literature review of the usefulness of nerve conduction studies and electromyography for the evaluation of patients with carpal tunnel syndrome. AAEM Quality Assurance Committee. Muscle Nerve 1993; 16: 1392–414.
Corresponding Author
Prof Prativa Panda
Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Mob no-9437080531
DOI: https://dx.doi.org/10.18535/jmscr/v6i4.125
