Causes of Carpal Tunnel syndrome (CTS)

Authors

  • Rizwan Ullah Khattak Assistant Professor Neurosurgery Hayatabad Medical Complex (HMC), Peshawar
  • BILAL KHAN Department of Neurosurgery, Hayatabad Medical Complex (HMC), Peshawar
  • IKRAM ALAM Department of Neurosurgery, Hayatabad Medical Complex (HMC), Peshawar
  • Wefaq Ullah Department of Neurosurgery, Hayatabad Medical Complex (HMC), Peshawar
  • Naseer Hassan Department of Neurosurgery, Hayatabad Medical Complex (HMC), Peshawar

Keywords:

Carpal tunnel syndrome, causes, ganglion, fracture radius.

Abstract

Objective: To know about the pathological causes of carpal tunnel syndrome.
Materials and Methods: This is retrospective cross sectional study on the patients operated by the senior author at his private clinic between January 2008 and March 2014. All the patients operated for carpal tunnel syndrome during the study period were included while those managed conservatively were excluded from the study. Pre-operatively all patients had undergone Nerve conduction studies and the procedure was performed under local anaesthesia. The pathology responsible for causing CTS was noted.
Results: A total of 73 patients were operated for CTS during the study period by the senior author. There were 18 males and 55 females with a male to female ratio approaching 3.0:1. The age range was from 24 – 58 years with a mean age of 43.6 ± 4 years. The pathology was hypertrophied transverse carpal ligament in 66 (90%) cases, abnormal vessels in 1 (1%), neuroma in 1 (1%), fracture distal end of the radius in 2 (5%), ganglion com-pressing the nerve in 1 (1%), post cellulitis in 1 (1%) and direct trauma to the nerve in 1 (1%).
Conclusion: Thickened ligamentum flavum is the most common cause of carpal tunnel syndrome and space occupying lesion constitute a considerable percent of pathology.

References

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Published

2014-06-30

Issue

Vol. 18 No. 1 (2014): January-June

Section

Original Articles

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The work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).