Clinical Findings of Asymptomatic Carpal Tunnel Syndrome in Patients With Diabetes Mellitus

نویسندگان

  • Hye Young Han
  • Ha Min Kim
  • So Young Park
  • Min-Wook Kim
  • Jae Min Kim
  • Dae-Hyun Jang
چکیده

OBJECTIVE To evaluate the clinical differences between patients with diabetes mellitus (DM) who have asymptomatic carpal tunnel syndrome (CTS) and those who have symptomatic CTS. METHODS Sixty-three patients with DM were assessed using the Boston Carpal Tunnel Questionnaire (BCTQ), nerve conduction studies (NCS), and ultrasonographic evaluation of the cross-sectional area (CSA) of the median nerve. According to the BCTQ responses and NCS results, the patients were divided into the following three groups: group 1 (n=16), in which NCS results did not reveal CTS; group 2 (n=19), in which NCS results revealed CTS but the group scored 0 points on the BCTQ (asymptomatic); and group 3 (n=28), in which NCS results revealed CTS and the group scored >1 point on the BCTQ (symptomatic). The clinical findings, NCS results, and CSA of the median nerve were compared among the three groups. RESULTS There were no significant differences in age, DM duration, glycated hemoglobin levels, and presence of diabetic polyneuropathy among the three groups. The peak latency of the median sensory nerve action potential was significantly shorter in group 1 than in groups 2 and 3 (p<0.001); however, no difference was observed between groups 2 and 3. CSA of the median nerve at the carpal tunnel in group 2 was significantly larger than that in group 1 and smaller than that in group 3 (p<0.05). CONCLUSION The results of our study suggest that the symptoms of CTS in patients with diabetes are related to CSA of the median nerve, which is consistent with swelling of the nerve.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

The 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 کامل

بررسی شیوع سندرم تونل کارپ و فاکتورهای خطر مرتبط با آن

Background and purpose: Carpal tunnel syndrome (CTS) is the most common compression neuropathy in the wrist. The aim of this study was to assess the prevalence of CTS and the risk factors associated with this condition. Materials and methods: A cross-sectional study was conducted in Sari, Iran 2014-2016, among patients with clinical symptoms in whom CTS was confirmed by electrodiagnostic tes...

متن کامل

بررسی سندرم تونل کارپ و عوامل زمینه‌ای آن در 362 بیمار

Background: Carpal tunnel syndrome is the most common focal neuropathy that results from pressure on a nerve. The goal of this study was to assess carpal tunnel syndrome and its associated factors such as occupation, sex, and accompanying complications in a teaching general hospital. Methods: This cross-sectional study investigated 362 patients with the diagnosis of carpal tunnel syndrome admi...

متن کامل

The Effect of Neuromobilization on Clinical Findings in Patients with Carpal Tunnel Syndrome

Objective: Neuromobilization techniques have been recently put forward in physiotherapy of carpal tunnel syndrome. The aim of this study was to assess the effect of neuromobilization on different aspects of evaluation including subjective, physical, and electrophysiological findings in CTS. Materials & Methods: In this randomized clinical trial study, 20 patients with carpal tunnel syndrome ...

متن کامل

Comparison of Ultrasound Findings of Carpal Tunnel Syndrome before and after Corticosteroid Injection

Background and Objective: Carpal Tunnel Syndrome is the most prevalent type of peripheral neuropathy due to neural entrapment. This syndrome is primarily diagnosed based on clinical symptoms, and it is subsequently confirmed by electro-diagnostic studies. Ultrasonography as a safe, available, and inexpensive method is also valuable in the follow-up of patients. This study aimed to evaluate the ...

متن کامل

The 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...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 40  شماره 

صفحات  -

تاریخ انتشار 2016