Risk factors for operated carpal tunnel syndrome: a multicenter population-based case-control study
نویسندگان
چکیده
BACKGROUND Carpal tunnel syndrome (CTS) is a socially and economically relevant disease caused by compression or entrapment of the median nerve within the carpal tunnel. This population-based case-control study aims to investigate occupational/non-occupational risk factors for surgically treated CTS. METHODS Cases (n = 220) aged 18-65 years were randomly drawn from 13 administrative databases of citizens who were surgically treated with carpal tunnel release during 2001. Controls (n = 356) were randomly sampled from National Health Service registry records and were frequency matched by age-gender-specific CTS hospitalization rates. RESULTS At multivariate analysis, risk factors were blue-collar/housewife status, BMI > or = 30 kg/m2, sibling history of CTS and coexistence of trigger finger. Being relatively tall (cut-offs based on tertiles: women > or =165 cm; men > or =175 cm) was associated with lower risk. Blue-collar work was a moderate/strong risk factor in both sexes. Raised risks were apparent for combinations of biomechanical risk factors that included frequent repetitivity and sustained force. CONCLUSION This study strongly underlines the relevance of biomechanical exposures in both non-industrial and industrial work as risk factors for surgically treated CTS.
منابع مشابه
The Role of Presence /Absence of Palmaris Longus and Fifth Flexor Digitorum Superfiscialis Tendons in Carpal Tunnel Syndrome
Background & Aims: Etiologically the causing factor of carpal tunnel syndrome is not clear and multiple contributing factors such as the presence or absence of Palmaris longus tendon have been cited. The aim of the present study was to compare patients with carpal tunnel syndrome and healthy individuals in regard to the absence and presence of Palmaris longus and fifth flexor digitarum superfic...
متن کاملAuthor's response to reviews Title: Risk factors for operated carpal tunnel syndrome A multicenter population-based case-control study Authors:
Stefano Mattioli ([email protected]) Alberto Baldasseroni ([email protected]) Massimo Bovenzi ([email protected]) Stefania Curti ([email protected]) Robin M T Cooke ([email protected]) Giuseppe Campo ([email protected]) Pietro G Barbieri ([email protected]) Rinaldo Ghersi ([email protected]) Marco Broccoli ([email protected]) Maria P...
متن کاملRisk factors for carpal tunnel syndrome in a general population.
OBJECTIVE To determine the individual, physical, and psychosocial risk factors for carpal tunnel syndrome in a general population. METHODS Population based case-control study in Marshfield epidemiological study area in Wisconsin, USA. Cases were men and women aged 18-69 with newly diagnosed carpal tunnel syndrome (n = 206 (83.1%) of 248 eligible). Controls were a random sample of residents of...
متن کاملThe clinical significance of the palmaris longus tendon and functional superficial flexor of the little finger in the pathophysiology of carpal tunnel syndrome
Abstract Background: The pathophysiology of carpal tunnel syndrome is associated with increased intracarpal canal pressure. Recently, palmaris longus has been introduced as an independent risk factor for the development of carpal tunnel syndrome. The purpose of this study was to assess the association of carpal tunnel syndrome with the presence of palmaris longus tendon and function...
متن کاملThe Relationship between Nerve Conduction Studies and Electromyography Findings in Patients with Carpal Tunnel Syndrome
Background: Carpal tunnel syndrome is the most common neuropathy in the general population. Nerve conduction studies are among the standard methods for diagnosing carpal tunnel syndrome. Electromyography is painful and unpleasant, and if nerve conduction studies can be used to diagnose axonal injury in carpal tunnel syndrome, electromyography might be replaced. Objectives: This study aimed t...
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ورودعنوان ژورنال:
- BMC Public Health
دوره 9 شماره
صفحات -
تاریخ انتشار 2009