Frequency of risk factors in patients with carpal tunnel syndrome

Authors

  • Sohaib Hassan Nishtar Medical University Multan
  • Usman Ali Nishtar Medical University Multan
  • Ali Qureshi Nishtar Medical University Multan

DOI:

https://doi.org/10.36552/pjns.v26i4.798

Keywords:

Carpal tunnel syndrome, Risk factors, obesity

Abstract

Objective:  This study aimed to ascertain the frequency of carpal tunnel syndrome risk factors.

Materials and Methods:  A cross-sectional study was conducted at the Department of Neurology, Nishtar Hospital Multan, Pakistan. One hundred and twenty patients with Carpal Tunnel Syndrome (CTS) who attended the study site were enrolled. Baseline data, including age, gender, residential area, Duration of CTS, smoking, hypertension, diabetes mellitus, and obesity, were obtained. The blood samples were obtained for screening for hypothyroidism.

Results:  It was observed that most of the CTS patients were males (63.3%). The observed mean age was 44.3 ± 12.1 years, and 65.8% of cases belonged to urban areas. The most common risk factor observed among the currently enrolled CTS patients was obesity (70.8%), followed by smoking (50.8%), diabetes mellitus (45%), hypertension (34.2%), and hypothyroidism (22.5%).

Conclusion:  Our study shows that the most common risk factor for CTS was obesity, followed by smoking, diabetes mellitus, hypertension, and hypothyroidism.

References

Genova A, Dix O, Saefan A, Thakur M, Hassan A. Carpal tunnel syndrome: a review of literature. Cureus. 2020;12(3): e7333.

Chammas M, Boretto J, Burmann LM, Ramos RM, Santos Neto FC, Silva JB. Carpal tunnel syndrome - part I (anatomy, physiology, etiology and diagnosis). Rev Bras Ortop. 2014, 49(5):429-436.

Ghasemi-Rad M, Nosair E, Vegh A, Mohammadi A, Akkad A, Lesha E, et al. A handy review of carpal tunnel syndrome: anatomy to diagnosis and treatment. World J Radiol. 2014, 6(6):284-300.

Wipperman J, Goerl K. Carpal tunnel syndrome: diagnosis and management. Am Fam Physician. 2016, 94(12):993-999.

Guan W, Lao J, Gu Y, Zhao X, Rui J, Gao K. Case-control study on individual risk factors of carpal tunnel syndrome. Exp Ther Med. 2018;15(3):2761-2766.

Yaseen A, Yaseen H, Yaseen A. Work related thumb pain, its prevalence, risk factors and prevention among physical therapists. IJEHSR. 2019;7(1):01-10.

Wahab KW, Sanya EO, Adebayo PB, Babalola MO, Ibraheem HG. Carpal tunnel syndrome and other entrapment neuropathies. Oman Med J. 2017;32(6):449-454.

Mansoor S, Siddiqui M, Mateen F, Saadat S, Khan ZH. Prevalence of obesity in carpal tunnel syndrome patients: A cross-sectional survey. Cureus. 2017;9(7):e1519.

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(12):1094-1104.

Palmer KT, Harris EC, Coggon D. Carpal tunnel syndrome and its relation to occupation: a systematic literature review. Occup Med (Lond) 2007;57(1):57-66.

Tseng CH, Liao CC, Kuo CM, Sung FC, Hsieh DP, Tsai CH. There are medical and non-medical correlates of carpal tunnel syndrome in a Taiwan cohort of one million. Eur J Neurol 2012;19(1):91-97.

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(12):1094-1104.

Shiri R. Hypothyroidism and carpal tunnel syndrome: a meta-analysis. Muscle Nerve 2014;50(6):879- 883.

Pourmemari MH, Shiri R. Diabetes as a risk factor for carpal tunnel syndrome: a systematic review and meta-analysis. Diabet Med 2016;33(1):10-16.

Shiri R. Arthritis as a risk factor for carpal tunnel syndrome: a meta-analysis. Scand J Rheumatol 2016;45(5):339-346.

Pourmemari MH, Heliövaara M, Viikari?Juntura E, Shiri R. Carpal tunnel release: Lifetime prevalence, annual incidence, and risk factors. Muscle & nerve. 2018;58(4):497-502.

Bland JD, Rudolfer SM. Clinical surveillance of carpal tunnel syndrome in two areas of the United Kingdom, 1991–2001. J Neurol Neurosurg Psychiatry. 2003;74(12):1674-1679.

Werner RA, Albers JW, Franzblau A, Armstrong TJ. The relationship between body mass index and the diagnosis of carpal tunnel syndrome. Muscle Nerve. 1994;17(6):632-636.

McDiarmid M, Oliver M, Ruser J, Gucer P. Male and female rate differences in carpal tunnel syndrome injuries: personal attributes or job tasks?. Environ Res. 2000;83(1):23-32.

Giersiepen K, Eberle A, Pohlabeln H. Gender differences in carpal tunnel syndrome? Occupational and non-occupational risk factors in a population-based case-control study. Ann Epidemiol. 2000;10(7):481.

Mondelli M, Giannini F, Giacchi M. Carpal tunnel syndrome incidence in a general population. Neurology. 2002;58(2):289-294.

Karpitskaya Y, Novak CB, Mackinnon SE. Prevalence of smoking, obesity, diabetes mellitus, and thyroid disease in patients with carpal tunnel syndrome. Ann Plastic Surg. 2002;48(3):269-273.

Becker J, Nora DB, Gomes I, Stringari FF, Seitensus R. An evaluation of gender, obesity, age and diabetes mellitus as risk factors for carpal tunnel syndrome. Clin Neurophysiol. 2002;113(9):1429-1434.

Lam N, Thurston A. Association of obesity, gender, age and occupation with carpal tunnel syndrome. ANZ J Surg. 1998;68(3):190-193.

Nathan PA, Keniston RC, Lockwood RS, Meadows KD. Tobacco, caffeine, alcohol, and carpal tunnel syndrome in American industry. A cross-sectional study of 1464 workers. J Occup Environ Med. 1996;38:290–298.

Szabo RM, Madison M. Carpal tunnel syndrome. Orthop Clin North Am. 1992;23:103–109.

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):566–574.

Perkins BA, Olaleye D, Bril V. Carpal tunnel syndrome in patients with diabetic polyneuropathy. Diabetes Care. 2002;25(3):565-569.

Karne SS, Bhalerao NS. Carpal tunnel syndrome in hypothyroidism. J Clin Diagn Res. 2016;10(2):OC36.

Downloads

Published

2022-12-23

Issue

Section

Original Articles