Demographic and electrophysiological characteristics of patients with prediagnosis of  carpal tunnel syndrome admitted to electromyography laboratory: [Elektromyografi laboratuvarına karpal tünel sendromu  ön tanısıyla gönderilen hastaların demografik ve  elektrofizyolojik özellikleri]

Fatma Ayşen EREN; Hüseyin BÜYÜKGÖL; Faik İLİK; Mehmet EREN; Zeynep ISSI

doi:10.5152/EurJTher.2016.0109

Authors

Fatma Ayşen EREN Aksaray Devlet Hastanesi, Nöroloji Kliniği, Aksaray
Hüseyin BÜYÜKGÖL Aksaray Devlet Hastanesi, Nöroloji Kliniği, Aksaray
Faik İLİK Başkent Üniversitesi Konya Uygulama ve Araştırma Hastanesi, Nöroloji Anabilim Dalı, Konya
Mehmet EREN Aksaray Devlet Hastanesi, Ortopedi ve Travmatoloji Kliniği, Aksaray
Zeynep ISSI Şevket Yılmaz Eğitim ve Araştırma Hastanesi, Nöroloji Kliniği, Bursa

DOI:

https://doi.org/10.5152/EurJTher.2016.0109

Keywords:

Carpal tunnel syndrome, demographic characteristics, etiology, prediagnosis

Abstract

Objective: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy of the upper limbs. Age, sex, obesity, and occupational factors are important risk factors. Electrophysiological studies are important for diagnosis. In this study, we aimed to evaluate the demographic characteristics of patients with a prediagnosis of CTS admitted to our electrophysiology laboratory and investigate the correlation between the clinical prediagnosis and electromyography diagnosis.

Methods: The study comprised 2913 patients with a prediagnosis of CTS admitted to our electrophysiology laboratory between June 2014 and July 2015.

Results: In this study, 2913 patients (2286 women and 627 men) were evaluated. In total, 1476 patients (50.7%) were detected to have CTS. Of which, 1190 (80.6%) were female and 286 (19.4%) were male; 357 (24.2%) patients were aged <40 years and 1119 (75.8%) were aged >40 years. Furthermore, 461 patients (32%) were farmers who engaged in agriculture and livestock farming.

Conclusion: CTS is more common in women; age and professional groups with overuse of hands are important risk factors for the development of CTS. Detection of normal electrophysiological findings in 49.3% of patients suggests that unnecessary ENMG requests are made.

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References

Mondelli M, Giannini F, Giacchi M. Carpal tunnel syndrome incidence in a general population. Neurology 2002; 58: 289-94.

Werner RA, Andaryd M. Carpal tunnel syndrome: pathophysiology and clinical neurophysiology. Clin Neurophysiol 2002; 113: 1373-81.

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.

Roquelaure Y, Nicolas G, Pelier-Cady MC, Mariot C, Descatha A, Leclerc A, et al. Attributable risk of carpal tunnel syndrome according to industry and occupation in a general population. Arthritis Rheum 2008; 59: 1341-8.

Aroori S, Spence RA. Carpal tunnel syndrome. Ulster Med J 2008; 77: 6-17.

Serarslan Y, Melek Mİ, Duman T. Karpal tünel sendromu. Pamukkale Tıp Dergisi 2008; 1: 45-9.

Jablecki CK, Andary MT, Floeter MK, Miller RG, Quartly CA, Vennix MJ, et al. WITHDRAWN: Second AAEM literature review of the usefulness of nerve conduction studies and needle electromyography for the evalution of patients with carpal tunnel syndrome. Muscle Nerve 2002; 26: 1-53.

Adam M, Leblebici B, Bağış S, Akman MN. Elektronöromiyografik İnceleme İsteminin Uygunluğu. Turk J Phys Med Rehab 2007; 53: 150-3.

Evcili G, Gül HL, Karadaş Ö, Börü ÜT. Carpal tunnel syndrome: In which ratio does electroneuromyography confirm the diagnosis? J Clin Anal Med 2012; 3 :412-4.

Keskin D, Uçan H, Babaoğlu S, Akbulut L, Eser F, Bodur H, et al. Karpal tunel sendromlu hastalarda klinik, elektromiyografik bulguların ve yaşam kalitesinin değerlendirilmesi. Turkiye Klinikleri J Med Sci 2008; 28: 456-61.

Zambelis T, Tsivgoulis G, Karandreas N. Carpal tunnel syndrome: associations between risk factors and laterality. Eur Neurol 2010; 63: 43-7.

Kurt S, Karaer H, Kaplan Y, Etikan İ. Vücut kitle indeksi, yaş ve cinsiyet ile karpal tünel sendromu arasındaki ilişki. Turk J Phys Med Rehab 2006; 52: 154-7.

Keklikoğlu HD, Çolpak Aİ, Solak EB, Yoldaş TK. Karpal tünel sendromunda ağrı ve elektrofizyolojik bulgular. Turk Norol Derg 2009; 15: 188-93.

Bodofsky EB, Campellone JV, Wu KD, Greenberg WM. Age and the severity of carpal tunnel syndrome. Electrpmyogr Clin Neurophysiol 2004; 44: 195-9.

de Krom MC, Kester AD, Knipschild PG, Spaans F. Risk factors for carpal tunnel syndrome. Am J Epidemiol 1990; 132: 1102-10.

Altrochi PH, Daube JR, Frisberg BM, Greenberg MK, Lanska DJ, Paulson G, et al. Practice parameter for carpal tunnel syndrome (summary statement). Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology 1993; 43: 2406-9.

Stallings SP, Kasdan ML, Soergel TM, Corwin HM. A case-control study of obesity as a risk factor for carpal tunnel syndrome in a population of 600 patients presenting for independent medical examination. J Hand Surg Am 1997; 22: 211-5.

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

Karadağ SY, Pak OF, Çiçekli E, Alkan B, Öztürk Ş, Özbakır Ş. Tarım işçilerinde asemptomatik karpal tünel sendromu. TTB Mesleki Sağlık ve Güvenlik Dergisi 2010; 34-7.

http://aksaray.bel.tr/124-menu-ekonomik-durumu (access date: 12.11. 2014).

http://www.aksaray.gov.tr/nufus (access date: 2014).

Türkel Y, Sandıkçı U, Er D, Yazıcı T, Bayrak AO, Türker HY. How compatible is clinical diagnosis with electrophysiology? J Clin Anal Med 2014; 5: 366-8