To see the other types of publications on this topic, follow the link: Carpal Tunnel Syndrome (CTS).
Journal articles on the topic 'Carpal Tunnel Syndrome (CTS)'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'Carpal Tunnel Syndrome (CTS).'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
SUBHAN, MOHAMMAD, FARIDULLAH SHAH, Mohammad TARIQ, Iftekhar Ali Shah, Najeeb Ul Haq, and Anwar Ul Haq. "CARPAL TUNNEL SYNDROME." Professional Medical Journal 19, no. 01 (January 3, 2012): 023–27. http://dx.doi.org/10.29309/tpmj/2012.19.01.1891.
Full textAbstract:
Background: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy. The symptoms of CTS include pain,paraesthesia and hypoesthesia in the hand, in the area innervated by the median nerve, and often occurs or worsens during the night or earlymorning, waking the patient up. Physical examination and nerve conduction studies are used to diagnose this condition. Early diagnosis andtreatment of CTS are important because any delay can cause irreversible median nerve damage. Objective: To highlight the role of physicalexamination and nerve conduction study in the diagnosis of CTS. Setting: Kuwait teaching Hospital Peshawar. Period: June 2008 to June2010. Methods: Fifty patients of carpal tunnel syndrome were studied. All patients who reported numbness and/or tingling in the median nervedistribution in the hands at least twice weekly during the preceding four weeks were enrolled to undergo clinical examination and nerveconduction tests. Following the clinical examination the symptomatic persons underwent bilateral nerve conduction tests. Results: Out of thesetwelve patients were males and thirty eight were females with a ratio of 1:3.1. The age range was between 20 to 60 years. CTS was bilateral in 22patients (44%), right-sided in 23(46%) patients and left-sided in 5(10%) patients. Conclusions: In addition to the clinical presentation,electrophysiology has been proposed as the standard of care for diagnosing CTS with a recommendation that it should be performed in allcases.
2
Utami, Rindu Febriyeni, Siti Munawarah, and Hatifa Khairunissa. "Hubungan Gerakan Repetitif Terhadap Kejadian Carpal Tunnel Syndrome (CTS) Pada Pemetik Daun Teh Di Pt. Mitra Kerinci Kabupaten Solok Selatan Tahun 2021." Jurnal Fisioterapi dan Rehabilitasi 6, no. 1 (December 2, 2021): 42–47. http://dx.doi.org/10.33660/jfrwhs.v6i1.159.
Full textAbstract:
ABSTRAK
Carpal Tunnel Syndrome (CTS) merupakan neuropati tekanan terhadap nervus medianus dalam terowongan karpal pada pergelangan tangan. Carpal Tunnel Syndrome (CTS) dipengaruhi oleh beberapa faktor, yaitu gerakan repetitif. Penelitian ini bertujuan untuk mengetahui hubungan gerakan repetitif terhadap kejadian Carpal Tunnel Syndrome (CTS) pada pemetik daun teh di PT. Mitra Kerinci Kabupaten Solok Selatan Tahun 2021.Desain penelitian ini adalah kuantitatif dengan study cross sectional. Tekhnik pengambilan sampel menggunakan metode accedental sampling. Penelitian ini dilakukan pada bulan Agustus 2021 terhadap 40 orang pekerja pemetik daun teh di PT. Mitra Kerinci Kabupaten Solok Selatan Tahun 2021.Hasil uji statistik chi-square didapatkan angka kejadian Carpal Tunnel Syndrome (CTS) pada pemetik daun teh adalah 31 orang (77,5%), dan gerakan repetitif yang beresiko sebanyak 33 orang (82,5%). Nilai signifikan kejadian Carpal Tunnel Syndrome (CTS) dengan gerakan repetitif didapatkan p=0,000.Disimpulkan terdapat hubungan gerakan repetitif terhadap kejadian Carpal Tunnel Syndrome (CTS) pada pemetik daun teh di PT. Mitra Kerinci Kabupaten Solok Selatan Tahun 2021.
Kata kunci : Gerakan Repetitif, Carpal Tunnel Syndrome (CTS)
3
Irmayani, Irmayani, Anggi Isnani Parinduri, Sri Melda Bangun, and Lismawati Lismawati. "FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN KELUHAN CARPAL TUNNEL SYNDROME (CTS) PADA SUPIR ANGKOT DI LUBUK PAKAM." JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) 4, no. 1 (October 31, 2021): 95–99. http://dx.doi.org/10.35451/jkf.v4i1.872.
Full textAbstract:
Carpal Tunnel Syndrome (CTS) is a condition that affects the hands and fingers. Carpal Tunnel Syndrome (CTS) can cause symptoms in the form of tingling, pain, burning, or numbness in the fingers and hands. Complaints of Carpal Tunnel Syndrome (CTS) cause losses due to the work done. Complaints of Carpal Tunnel Syndrome (CTS) can be caused by several factors including work attitude, length of work and work period. This study aims to identify the factors associated with complaints of Carpal Tunnel Syndrome (CTS) in public transportation drivers in Lubuk Pakam. This study uses an analytical survey with a cross sectional approach. The sample in this study was public transportation drivers in Lubuk Pakam as many as 32 respondents with purposive sampling method using the chi square test with a 95% confidence level = (0.05). The results showed that there was a relationship between work attitudes (P = 0.042< (0.05), length of work (P = 0.036 < (0.05), work period (P = 0.034< (0.05)) with complaints of Carpal Tunnel Syndrome (CTS).The advice that can be given is that angkot drivers in Lubuk Pakam take regular breaks of 15-20 minutes by stretching the wrist to reduce the risk of Carpal Tunnel Syndrome (CTS) complaints.
4
Rahman, Farid. "STUDI KASUS: PROGRAM FISIOTERAPI PADA CARPAL TUNNEL SYNDROME CASE STUDY: PHYSIOTHERAPY PROGRAMS IN CARPAL TUNNEL SYNDROME." Jurnal Fisioterapi dan Rehabilitasi 4, no. 2 (August 12, 2020): 58–66. http://dx.doi.org/10.33660/jfrwhs.v4i2.116.
Full textAbstract:
Carpal tunnel syndrome (CTS) adalah kelainan nyeri pada ekstremitas atas yang disebabkan oleh kompresi saraf medianus di terowongan karpal, dengan prevalensi berkisar antara 6,3% hingga 11,7%. Ketika terjadi penekanan nervus akan menyebabkan nyeri, gejala neurologis dan penurunan kemampuan fungsional dan dapat menganggu aktivitas pekerjaan. Pengobatan carpal tunnel syndrome (CTS) dapat dilakukan dengan medikasi dan program fisioterapi. Program fisioterapi bermanfaat untuk menurunkan nyeri, penguatan otot ekstremitas atas dan wrist dan meningkatkan aktivitas fungsional dan mengurangi resiko disabiltias. Tujuan studi ini adalah mengetahui efektivitas program fisioterapi dengan menggunakan ultrasound, nervus dan tendon gliding terhadap peningkatan aktivitas fungsional pada penederita Carpal Tunnel Syndrome (CTS)
Kata kunci:Carpal Tunnel Syndrome (CTS), Aktivitas Fungsional, Terapi Latihan, Electro Physical Agent.
5
Oktavia, O., and Nurul Aktifah. "Gambaran Penurunan Nyeri Pada Carpal Tunnel Syndrome Setelah Diberikan Kinesiotaping : Literature Review." Prosiding Seminar Nasional Kesehatan 1 (December 23, 2021): 1855–62. http://dx.doi.org/10.48144/prosiding.v1i.943.
Full textAbstract:
AbstractCarpal Tunnel Syndrome is caused by repeated movements for a long period of time causing pressure on the median nerve causing pain in the wrist. Intervention to reduce pain in Carpal Tunnel Syndrome using Kinesiotaping modality. This literature review study aims to determine the description of pain reduction in Carpal Tunnel Syndrome after being given Kinesiotaping intervention. The selection of articles in this study used the PICO mnemonic design. The writing of this article uses a literature search through Google Scoolar, PubMed with predetermined inclusion and exclusion criteria. The results of a literature review of five articles show that Kinesiotaping can reduce pain in Carpal Tunnel Syndrome patients. Kinesiotaping can reduce pain in Carpal Tunnel Syndrome. Actions in performing physiotherapy management on the problem of Carpal Tunnel Syndrome (CTS) pain, physiotherapy can handle using the Kinesiotaping modality.Keywords: Carpal Tunnel Syndrome (CTS), Kinesiotaping, Visual Analog Scale (VAS), Pain
AbstrakCarpal Tunnel Syndrome disebabkan gerakan yang berulang dalam jangka waktu yang lama menyebabkan penekanan pada saraf medianus menimbulkan rasa nyeri pada pergelangan tangan. Intervensi penurunan nyeri pada Carpal Tunnel Syndrome menggunakan modalitas Kinesiotaping. Penelitian literature review ini bertujuan untuk mengetahui gambaran penurunan nyeri pada Carpal Tunnel Syndrome setelah diberikan intervensi Kinesiotaping. Pemilihan artikel pada penelitian ini menggunakan desain mnemonic PICO. Penulisan artikel ini menggunakan penulusuran literature melalui Google Scoolar, PubMed dengan kreteria inklusi dan eksklusi yang telah ditentukan. Hasil literature review lima artikel menunjukan bahwa Kinesiotaping dapat menurunkan nyeri pada pasien Carpal Tunnel Syndrome. Kinesiotaping dapat menurunkan nyeri pada Carpal Tunnel Syndrome. Tindakan dalam melakukan management fisioterapi pada masalah nyeri Carpal Tunnel Syndrome (CTS), fisioterapi dapat melakukan penanganan dengan menggunakan modalitas Kinesiotaping. Kata kunci : Carpal Tunnel Syndrome (CTS), Kinesiotaping, Visual Analog Scale (VAS), Nyeri
6
Sharma, S. R., Nalini Sharma, and M. E. Yeolekar. "Carpal tunnel syndrome caused by cysticercosis." Indian Journal of Plastic Surgery 43, no. 02 (July 2010): 210–12. http://dx.doi.org/10.1055/s-0039-1699438.
Full textAbstract:
ABSTRACTWe present a case of carpal tunnel syndrome (CTS) due to compression of the median nerve within the carpal tunnel, caused by cysticercosis. Nerve conduction studies revealed severe CTS. Magnetic resonance imaging suggested an inflammatory mass compressing the median nerve in carpal tunnel. The histological diagnosis was consistent with cysticercosis. The case resolved with conservative treatment. Such solitary presentation of entrapment median neuropathy as CTS caused by cysticercosis is extremely rare. To our knowledge, this is the only case of its kind reported in literature till date.
7
Permata, Ayu, and Ismaningsih Ismaningsih. "APLIKASI NEUROMUSCULAR TAPING PADA KONDISI CARPAL TUNNEL SYNDROM UNTUK MENGURANGI NYERI." Jurnal Ilmiah Fisioterapi 3, no. 1 (February 13, 2020): 12–17. http://dx.doi.org/10.36341/jif.v3i1.1226.
Full textAbstract:
Latar Belakang: Carpal tunnel syndrome (CTS) merupakan kumpulan gejala dan tanda penyakit yang disebabkan oleh terjepitnya saraf medianus di terowongan karpal pada pergelangan tangan. Kondisi CTS ini merupakan salah satu jenis neuropati yang paling sering terjadi. Sindrom ini timbul dengan gejala nyeri, baal, dan kelemahan pada tangan akibat penekanan nervus medianus. Carpal tunnel syndrome merupakan suatu syndrome yang berhubungan dengan gerakan yang berulang (repetitive motion) dan posisi yang menetap pada durasi yang lama sehingga memperngaruhi suplai darah ke tangan dan menimbulkan rasa nyeri. Tujuan: Penelitian ini ditujukan kepada penderita kondisi Carpal Tunnel Syndrom untuk mengurangi nyeri. Intervensi fisioterapi yang diberikan pada kondisi CTS yaitu penurunan nyeri yang dapat dilakukan dengan berbagai tindakan diantaranya dengan pemberian teknik Neuromuskuler Taping Metode Penelitian: Case study dengan desain penelitian pre and post test yaitu membandingkan antara tingkat nilai nyeri sebelum dan sesudah yang diukur dengan alat ukur Visual Analogue Scale (VAS) terhadap pemberian intervensi Neuromuskuler Taping pada kondisi carpal tunnel syndrome selama 3 mingggu. Hasil: Analisa uji beda nilai nyeri dengan VAS pada kelompok sampel dengan nilai signifikasi yaitu 0,006 yang menunjukkan < 0.05yang bermakna ada pengaruh pemberian Neruromusculer taping terhadap perubahan tingkat nyeri VAS penderita Carpal Tunnel Syndrom.
8
Annisa, Devi, Sri Budhi Rianawati, Masruroh Rahayu, Neila Raisa, and Shahdevi Nandar Kurniawan. "CARPAL TUNNEL SYNDROME (DIAGNOSIS AND MANAGEMENT)." JPHV (Journal of Pain, Vertigo and Headache) 2, no. 1 (March 1, 2021): 5–7. http://dx.doi.org/10.21776/ub.jphv.2021.002.01.2.
Full textAbstract:
Carpal Tunnel Syndrome (CTS) is a neuropathy disease that affects the median nerve with an incidence of around 90%. Carpal Tunnel Syndrome appears in 3.8% of the general population, with the highest prevalence occurring in women. There are several risk factors associated with CTS, namely medical and non-medical factors. The mechanism of carpal tunnel syndrome until now is still very complex and is not known with certainty, but compression and traction factors in the median nerve are thought to be the most common cause of CTS. Carpal Tunnel Syndrome can manifest clinically with subjective signs such as paresthesia, proprioceptive changes, and paresis, as well as objective signs, such as changes in motor sensitivity and function, positive Tinel and Phallen tests, and thenar muscle atrophy. The diagnosis of Carpal Tunnel Syndrome is based on the classic symptoms of pain, numbness, tingling, and/or burning sensation in the distribution of the median nerve in the hand, as well as the abnormal function of the median nerve based on nerve conduction studies. Conservative therapy is an option. Especially in Carpal Tunnel Syndrome patients with mild to moderate symptoms. Conservative therapy can be given in the form of corticosteroid and physical therapy. Patients with severe CTS or whose symptoms have not improved after four to six months of conservative therapy should be considered for surgical treatment.
9
SEROR, P. "Pregnancy-Related Carpal Tunnel Syndrome." Journal of Hand Surgery 23, no. 1 (February 1998): 98–101. http://dx.doi.org/10.1016/s0266-7681(98)80232-5.
Full textAbstract:
Clinical and electrophysiological features were studied in 52 cases of carpal tunnel syndrome (CTS) associated with 30 pregnancies. The duration of symptoms was less than 3 months before electrodiagnosis was performed. This study revealed a higher incidence of persistent, painful diurnal symptoms in pregnancy-related CTS (PRCTS) than in idiopathic CTS. PRCTS usually occurs for the first time (de novo) (24/30 cases), in primigravidas (15 cases) as well as multigravidas. The onset of symptoms was in the first or second trimester in 11 women, the third trimester in 12 women, or the post-partum period in seven women. Nerve conduction studies demonstrated evidence of an acute median nerve lesion at the wrist with motor and/or sensory conduction blocks in 20/30 women and severe denervation signs in five women.
10
Vouzouneraki, Konstantina, Daniela Esposito, Sebastian Mukka, Daniel Granfeldt, Oskar Ragnarsson, Per Dahlqvist, and Daniel S. Olsson. "Carpal tunnel syndrome in acromegaly: a nationwide study." European Journal of Endocrinology 184, no. 2 (February 2021): 209–16. http://dx.doi.org/10.1530/eje-20-0530.
Full textAbstract:
Objective Carpal tunnel syndrome (CTS) is common in patients with acromegaly, with a reported prevalence of 19–64%. We studied CTS in a large national cohort of patients with acromegaly and the temporal relationship between the two diagnoses. Design Retrospective, nationwide, cohort study including patients diagnosed with acromegaly in Sweden, 2005–2017, identified in the Swedish Healthcare Registries. Methods CTS (diagnosis and surgery in specialised healthcare) was analysed from 8.5 years before the diagnosis of acromegaly until death or end of the study. Standardised incidence ratios (SIRs) with 95% CIs were calculated for CTS with the Swedish population as reference. Results The analysis included 556 patients with acromegaly (50% women) diagnosed at mean (s.d.) age 50.1 (15.0) years. During the study period, 48 patients were diagnosed with CTS and 41 patients underwent at least one CTS surgery. In the latter group, 35 (85%) were operated for CTS before the acromegaly diagnosis; mean interval (range) 2.2 (0.3–8.5) years and the SIR for having CTS surgery before the diagnosis of acromegaly was 6.6 (4.8–8.9). Women with acromegaly had a higher risk for CTS than men (hazard ratio: 2.5, 95% CI: 1.3–4.7). Conclusions Patients with acromegaly had a 6-fold higher incidence for CTS surgery before the diagnosis of acromegaly compared with the general population. The majority of patients with both diagnoses were diagnosed with CTS prior to acromegaly. Increased awareness of signs of acromegaly in patients with CTS might help to shorten the diagnostic delay in acromegaly, especially in women.
11
Permatasari, Uci Intan, and Asyhara Naela Arifin. "Hubungan Lama Dan Masa Kerja Terhadap Risiko Terjadinya Carpal Tunnel Syndrome (CTS) Pada Staff Administrasi Pengguna Komputer: Narrative Review." Journal Physical Therapy UNISA 1, no. 1 (April 15, 2021): 33–39. http://dx.doi.org/10.31101/jitu.2018.
Full textAbstract:
Penggunaan komputer secara statis dalam waktu yang lama dapat mempengaruhi gangguan muskuloskeletal akibat posisi tangan yang salah pada saat menggunakan mouse atau keyboard. Berbagai aktivitas yang banyak menggunakan tangan dalam waktu yang lama sering dihubungkan dengan terjadinya carpal tunnel syndrome (CTS), salah satunya yaitu staff administrasi yang menggunakan komputer secara terus menerus. Carpal tunnel syndrome yang terjadi berhubungan dengan penggunaan komputer adalah sebagai akibat inflamasi tenosinovial di dalam terowongan karpal yang menyebabkan gejala seperti rasa kaku, kesemutan, kebas, rasa terbakar, dan rasa sakit pada telapak tangan.Tujuan penelitian ini untuk mengetahui apakah ada hubungan lama dan masa kerja terhadap risiko terjadinya carpal tunnel syndrome (CTS) pada staff administrasi pengguna komputer. Metode penelitian ini menggunakan penelitian narrative riview, pada penelitian ini penelusuran artikel menggunakan database Science Direct, PubMed dan Google Scholar sesuai kriteria inklusi dan ekslusi dalam penelitian ini full text tentang lama dan masa kerja terhadap risiko terjadinya carpal tunnel syndrome (CTS) pada staff administrasi pengguna komputer di terbitkan minimal dalam kurun waktu 2010-2020. Hasil review 10 jurnal adanya hubungan lama dan masa kerja terhadap risiko terjadinya carpal tunnel syndrome dengan diukur oleh alat yang digunakan. Berdasarkan hasil review jurnal yang telah dilakukan dapat disimpulkan bahwa terdapat hubungan lama dan masa kerja terhadap risiko terjadinya carpal tunnel syndrome (CTS) pada staff administrasi pengguna komputer.
12
Vögelin, Esther, Thomas Mészàros, Franziska Schöni, and Mihai A. Constantinescu. "Sonographic Wrist Measurements and Detection of Anatomical Features in Carpal Tunnel Syndrome." Scientific World Journal 2014 (2014): 1–6. http://dx.doi.org/10.1155/2014/657906.
Full textAbstract:
Introduction. This study compares anatomical findings at wrist level in patients with known carpal tunnel syndrome (CTS) and controls by ultrasonography (US).Material and Methods. Wrist-US investigations of 28 consecutive patients with 38 diagnosed, idiopathic CTS were compared to 49 healthy volunteers without history of CTS. Internal wrists dimensions, the presence of flexor muscle bellies in the carpal tunnel, and cross-sectional area of the median nerve were analyzed. The findings were correlated to gender, age, and BMI.Results. US demonstrated a square internal carpal tunnel configuration in CTS patients compared to controls (P<0.001). Patients with CTS showed a trend towards the presence of flexor muscles bellies in the carpal tunnel (odds ratio 1.77, 95% CI 0.337–8.33). CTS was present in women with higher BMI (P=0.015).Conclusion. US allowed detection of specific anatomical features at wrist level in CTS patients. This observation may enable—following confirmation in larger prospective studies—risk evaluation for CTS development.
13
Matias, Aura C., and Gavriel Salvendy. "Carpal tunnel syndrome causation among VDT operators." Occupational Ergonomics 1, no. 1 (January 31, 1998): 55–66. http://dx.doi.org/10.3233/oer-1998-1106.
Full textAbstract:
A total of 100 female VDT operators, who performed a variety of office functions, were studied at a major midwestern university. The purpose of this study was to determine the effects of job exposure, posture, psychosocial and personal factors on carpal tunnel syndrome (CTS) comparing between CTS and non-CTS subjects. The results of the study suggest that the main causation of CTS are long periods of continuous typing activity, static and bent postures of the wrist, seating posture and the individual's wrist size. It was found that CTS subjects spent longer time and a greater proportion of their work involving keyboarding than the non-CTS subjects. CTS subjects tended to assume more extended and deviated wrist postures as well as forward leaning seating postures than the non-CTS subjects. Furthermore, non-CTS subjects were found to have wider wrists than the CTS subjects.
14
Lee, Jun-Ku, Soo-Hyun Lee, Banghyun Kim, Kyunghun Jung, Inkeun Park, and Soo-Hong Han. "Risk Factors of Carpal Tunnel Syndrome for Male Patient Undergoing Carpal Tunnel Release." Handchirurgie · Mikrochirurgie · Plastische Chirurgie 50, no. 05 (September 2018): 335–40. http://dx.doi.org/10.1055/a-0747-5982.
Full textAbstract:
Abstract Introduction Although the major cause of carpal tunnel syndrome (CTS) remains idiopathic, many male CTS patients are clinically different from female patients and often have specific risk factors associated with their conditions. An accurate analysis of such propensity has yet to be established. The purpose of this study is to compare male and female patients by analyzing the risk factors associated with CTS patients who underwent surgical treatment, with focus on their occupation. Patients/Material and Methods retrospective chart review of 818 patients with CTS was performed to identify the associated risk factors. Patients were stratified by gender: female (n = 707, 86.4 %) and male (n = 111, 13.6 %). The mean patient age was 54.5 (range: 16–85 yr.) for all groups. The medical history and risk factors of each patient was thoroughly reviewed by medical charts and telephone survey. We categorized the risk factors of CTS into 7 categories: anatomic, neuropathic, inflammatory, alteration of fluid balance, distal radius fracture associated, occupational risk factor related, and idiopathic. Occupations of CTS patients were divided into high risk occupations (vibratory tools, assembly jobs, and food processing and packaging jobs, and other occupations of repetitive wrist motion and forceful gripping) and nonrisk occupations. All variables were analyzed with chi-square or Fisher’s exact test for differences between men and women. Results The number of individuals with known risk factors of CTS was greater in male, compared to that of female patients; 97 (87.4 %) male patients had the risk factors of CTS, while 361 (51.1 %) female patients (p < 0.001) did. In subgroup analysis of risk factors, male patients had frequent risk factors in neuropathic, inflammatory, and alteration of fluid balance (p < 0.001). Occupational risk was strongly associated with male gender (p < 0.001). Conclusion Male CTS patients who underwent surgery are more likely to have a reason and have many occupational risk factors than women.
15
KAYMAK, B., F. İNANICI, L. ÖZÇAKAR, A. ÇETIN, A. AKINCI, and Z. HASÇELIK. "Hand Strengths in Carpal Tunnel Syndrome." Journal of Hand Surgery (European Volume) 33, no. 3 (June 2008): 327–31. http://dx.doi.org/10.1177/1753193408090105.
Full textAbstract:
The purpose of this study was to determine whether a measurable decrease in isokinetic (dynamic) and isometric (static) hand strengths occurs in carpal tunnel syndrome (CTS) patients. Eighteen CTS patients and 20 healthy controls were included in the study. Isokinetic (eccentric and concentric) and isometric grip and pinch strengths were measured with a Biodex System 3 dynamometer (Biodex Medical System, Inc. New York). All strength measurements, except isometric and isokinetic (concentric/eccentric) three-point pinch and isokinetic (concentric) tip pinch, revealed statistically significant differences between CTS patients and controls. Measurable decrease in hand strengths may exist in CTS despite normal manual assessments. Although both isokinetic (dynamic) and isometric (static) dynamometers are capable of detecting this decrease, neither technique seems better than the other.
16
Bigelow, Eric, and Michael Bell. "Carpal Tunnel Syndrome: A New Objective Evaluation Technique." Canadian Journal of Plastic Surgery 6, no. 2 (June 1998): 99–103. http://dx.doi.org/10.1177/229255039800600202.
Full textAbstract:
E Bigelow, M Bell. Carpal tunnel syndrome: A new objective evaluation technique. Can J Plast Surg 1998;6(2):99-103. Thumb abduction strength is impaired progressively in patients with carpal tunnel syndrome (CTS). In advanced cases abductor pollicis brevis (APB) weakness and wasting are evident. The APB muscle recovers power significantly after carpal tunnel release. A technique that objectively measures this function is described. The results of a study comparing 175 patients suffering from CTS with 132 controls are presented. No previous study has looked exclusively at the APB motor deficit preoperatively and at the postoperative recovery in CTS patients. Preoperatively, bilateral thumb abduction power was measured in patients with CTS by using a micrometer spring scale. The results were compared with those from a control group. A significant APB strength deficit was present in all CTS patients (P=0.001). A standard carpal tunnel release was performed by the same surgeon in all cases. The transverse carpal ligament was incised under direct vision with the use of an open technique. Thumb abduction strength was measured again four weeks postoperatively; significant recovery was observed in strength compared with the preoperative value (P=0.001). Thumb abduction power was, however, still lower than that of the control group (P=0.001). This test is a simple, inexpensive and reproducible way to evaluate the severity of CTS and to help diagnose patients with CTS objectively. It is a useful adjunct to monitor and follow CTS patients postoperatively.
17
Thornton, Joyce K. "Carpal Tunnel Syndrome in ARL Libraries." College & Research Libraries 58, no. 1 (January 1, 1997): 9–18. http://dx.doi.org/10.5860/crl.58.1.9.
Full textAbstract:
Carpal tunnel syndrome (CTS), commonly found in manufacturing operations, is spreading from this traditional haunt to nontraditional settings. Libraries are one setting where employees are sustaining an increasing number of CTS injuries. This study reports the results of a survey of the libraries holding membership in the Association of Research Libraries. Based on information obtained via a questionnaire, the study reports the incidences of CTS and the measures libraries are taking to cope with this pervasive health condition. Repeated comments from respondents also are included. This article concludes by listing recommendations to help reduce carpal tunnel syndrome.
18
Deal, J. Banks, and Anthony J. Magee. "Carpal Tunnel Syndrome in Military Aviators." Military Medicine 185, no. 9-10 (June 30, 2020): e1506-e1509. http://dx.doi.org/10.1093/milmed/usaa077.
Full textAbstract:
Abstract Introduction The incidence of carpal tunnel syndrome (CTS) is increased in occupations exposed to repetitive motion, poor wrist posture, and vibration exposure. While all pilots are exposed to these factors, helicopter pilots are especially exposed to vibration. The study is to identify the incidence and risk factors for CTS in military aviators. Materials and Methods Clearance was obtained from Tripler Army Medical Center IRB. The Defense Medical Epidemiological Database was queried for all new cases of CTS from 2006 to 2015. Incidence rates (IRs) were determined for helicopter pilots, fixed-wing pilots, and nonpilot officers. Poisson regression analysis was used to calculate adjusted IR in order to control for demographic factors. Race was also taken into account, where pilots would classify themselves into a white or non-white race, defined by each individual. Race was assessed in the study to see if there were any differences in IR of CTS between white and non-white pilots. Results We identified 7,398 new cases of CTS among 2,319,352 person-years within the study period. Increasing age, female gender, and non-white race were significantly correlated with higher IR. Fixed-wing pilots demonstrated significantly lower adjusted IR than nonpilot officers in each age group. Helicopter pilots demonstrated higher IR than fixed-wing pilots in each age group. Helicopter pilots had lower incidence of CTS early in their career compared to nonpilot officers, but by age 40+, their IR ratio was significantly higher (1.21). Conclusion Analysis of the database indicates that fixed-wing pilot status is a protective factor against development of CTS among U.S. military officers. In contrast, helicopter pilots were found to be at an increased rate of CTS than their fixed-wing counterparts. Their incidence is comparable to their nonpilot officer peers early in their career, but is significantly increased at the senior level. Increasing age and female gender are risk factors in the military officer population as expected. Non-white race was found to increase risk in the military population, in contrast to reports of the civilian population.
19
Okuma, Kentaro, Ryogo Furuhata, Yasuhiro Kiyota, Aki Kono, Teppei Hayashi, Yusaku Kamata, and Hideo Morioka. "Acute progressive bilateral carpal tunnel syndrome associated with remitting seronegative symmetrical synovitis with pitting edema syndrome: A case report." Journal of Orthopaedic Surgery 28, no. 1 (December 26, 2019): 230949901989307. http://dx.doi.org/10.1177/2309499019893079.
Full textAbstract:
The association between carpal tunnel syndrome (CTS) and remitting seronegative symmetrical synovitis with pitting edema (RS3PE) syndrome, an elderly onset rheumatic disease, is not fully understood. Here, we describe a case of acute CTS caused by RS3PE syndrome. An 84-year-old man visited the hospital with sudden onset of severe neuralgia in the median nerve and pitting edema in both hands. Computed tomography showed low-density areas around the flexor tendons and median nerve compression in the carpal tunnel. Rapidly progressing intolerable neuralgia and paralysis required urgent carpal tunnel release in the left hand. After surgery, we considered the possibility of RS3PE syndrome and started the administration of prednisolone. The pitting edema and neuralgia improved. In this case, imaging and intraoperative findings suggest that the effusion generated from flexor tenosynovitis associated with RS3PE syndrome increased the internal pressure in the carpal tunnel rapidly, which led to acute CTS and urgent surgery.
20
REILLY, P. A., A. K. CLARKE, and E. F. J. RING. "Thermography in Carpal Tunnel Syndrome (CTS)." Rheumatology 28, no. 6 (1989): 553–54. http://dx.doi.org/10.1093/rheumatology/28.6.553-a.
Full text
21
GEOGHEGAN, J. M., D. I. CLARK, L. C. BAINBRIDGE, C. SMITH, and R. HUBBARD. "Risk Factors in Carpal Tunnel Syndrome." Journal of Hand Surgery 29, no. 4 (August 2004): 315–20. http://dx.doi.org/10.1016/j.jhsb.2004.02.009.
Full textAbstract:
We have undertaken a large case–control study using the UK General Practice Research Database to quantify the relative contributions of the common risk factors for carpal tunnel syndrome (CTS) in the community. Cases were patients with a diagnosis of CTS and, for each, four controls were individually matched by age, sex and general practice. Our dataset included 3,391 cases, of which 2,444 (72%) were women, with a mean age at diagnosis of 46 (range 16–96) years. Multivariate analysis showed that the risk factors associated with CTS were previous wrist fracture (OR = 2.29), rheumatoid arthritis (OR = 2.23), osteoarthritis of the wrist and carpus (OR = 1.89), obesity (OR = 2.06), diabetes (OR = 1.51), and the use of insulin (OR = 1.52), sulphonylureas (OR = 1.45), metformin (OR = 1.20) and thyroxine (OR = 1.36). Smoking, hormone replacement therapy, the combined oral contraceptive pill and oral corticosteroids were not associated with CTS. The results were similar when cases were restricted to those who had undergone carpal tunnel decompression.
22
Fagarasanu, Mircea, and Shrawan Kumar. "WORK-RELATED CARPAL TUNNEL SYNDROME: CURRENT CONCEPTS." Journal of Musculoskeletal Research 07, no. 02 (June 2003): 87–96. http://dx.doi.org/10.1142/s0218957703001022.
Full textAbstract:
Carpal Tunnel Syndrome (CTS) has been the subject of a growing number of studies, most of them leading to contradictory outcomes. The dual aim of this paper is to provide the foundation for a thorough understanding of CTS history, and to emphasize the strong relationship between upper extremity activities and occupational CTS. Evidence of work relatedness, as well as contradictory opinions regarding the role of job-related risk factors on CTS development are addressed. It is proposed that a thorough understanding of the factors that intervene in the task-CTS causal relationship, as well as the assessment of workers' adaptation capacity will lead to ergonomic interventions that will ensure a reduction in the number of work-related CTS cases.
23
Irwin, L. R., R. Beckett, and R. K. Suman. "Steroid Injection for Carpal Tunnel Syndrome." Journal of Hand Surgery 21, no. 3 (June 1996): 355–57. http://dx.doi.org/10.1016/s0266-7681(05)80202-5.
Full textAbstract:
We studied the medium- to long-term results of steroid injection into the carpal tunnel of women with the carpal tunnel syndrome (CTS). Of 45 hands, only 11 had lasting relief of symptoms and 22 had no relief whatsoever. There was no correlation of the typical signs and symptoms of CTS with outcome. Other series have offered various predictive factors for the outcome of injection but we found little or no correlation between these factors and outcome.
24
Uejo, Craig. "Carpal tunnel syndrome – Occupationally Related or Not?" Guides Newsletter 14, no. 3 (May 1, 2009): 1–2. http://dx.doi.org/10.1001/amaguidesnewsletters.2009.mayjun01.
Full textAbstract:
Abstract Carpal tunnel syndrome (CTS), the most common peripheral entrapment neuropathy, is caused by compression of the median nerve at the wrist, and annual costs of CTS treatment in the United States total $2 billion. Although CTS often is attributed to repetitive motions at work, recent reports have questioned the relationship of CTS and occupational activities. This article reviews recent publications and provides insights into the causation of this common problem. Despite ergonomic workplace modifications aimed at reducing perceived risk factors, rates of imputedly work-related musculoskeletal disorders such as CTS have not decreased during the past ten years. One study found a prevalence of electrodiagnostically confirmed CTS of 3.5% in frequent computer users, but the authors also note that affected and unaffected employees had similar occupations, years using a computer, and usage rates. Another group concluded that computer use does not pose a severe occupational hazard for developing symptoms of CTS. Recent publications have suggested other risk factors such as age, obesity, hand dominance, reduced physical fitness, lifetime alcohol intake, and smoking; others have correlated weight and body mass index with prolonged median nerve latency. A relatively small number of jobs may be associated with CTS, primarily those that involve high force and repetition. The etiology of CTS usually is multifactorial, and risk factors include genetics, age, female sex, and obesity; its relationship with occupational injury is questioned.
25
Jang, Min-Gu, Youn Moo Heo, Tae Gyun Kim, Jae Hwang Song, and Tae Hyeong Kim. "Carpal Tunnel Syndrome due to Dorsal Intercalated Segmental Instability of the Wrist." Archives of Hand and Microsurgery 25, no. 2 (June 1, 2020): 124–27. http://dx.doi.org/10.12790/ahm.20.0009.
Full textAbstract:
Carpal tunnel syndrome (CTS) is the most common compressive neuropathy of the upper limb. Although most cases are idiopathic, it can occur due to various causes including an alteration of anatomical dimension of the carpal tunnel. CTS can be diagnosed mostly by clinical findings and electrodiagnostic test. As a result, the confirmation of structural change of carpal tunnel may be delayed as basic radiologic examinations such as simple radiography of the wrist are not performed. We confirmed carpal malalignment due to dorsal intercalated segmental instability on simple radiography of a patient with CTS whose symptoms did not improved by conservative managements. He had symptoms for more than 2 years, but had never undergone simple radiography of the wrist. Because structural changes of the carpal tunnel could be the main reason for CTS and affect the whole treatment process, the physician should always check standard radiography of the wrist before determining how to treat the patient.
26
KOUYOUMDJIAN, JOAO ARIS, MARIA DA PENHA ANANIAS MORITA, PAULO RICARDO FERNANDO ROCHA, RAFAEL CARLOS MIRANDA, and GUSTAVO MACIEL GOUVEIA. "Body mass index and carpal tunnel syndrome." Arquivos de Neuro-Psiquiatria 58, no. 2A (June 2000): 252–56. http://dx.doi.org/10.1590/s0004-282x2000000200008.
Full textAbstract:
Carpal tunnel syndrome (CTS) has been correlated to body mass index (BMI) increase. The present study was done in a Brazilian population to compare BMI values in the following groups: first, CTS vs. controls subjects, and, second CTS groups of increasing median sensory latency (MSL). According to MSL > or = 3.7 ms (wrist-index finger, 14 cm), median/ulnar sensory latency difference > or = 0.5 ms (ring finger, 14 cm) or median palm-to-wrist (8 cm) latency > or = 2.3 ms (all peak-measured), 141 cases (238 hands) had CTS confirmation. All were symptomatic; previous surgery and polyneuropathy were excluded; mean age 50.3; 90.8% female. Controls subjects (n=243; mean age 43.0; 96.7% female) and CTS cases had BMI calculated (kg/m²). Controls subjects had a mean BMI of 25.43±4.80 versus 28.38±4.69 of all CTS cases, a statistically significant difference (p < 0.001). The CTS groups of increasing MSL severity do not show additional increase in BMI (28.44 for incipient, 28.27 for mild, 28.75 for moderate and 29.0 for severe). We conclude that CTS cases have a significant correlation with higher BMI when compared to controls subjects; however, higher BMI do not represent a statistically significant increasing risk for more severe MSL.
27
Harada, K., H. Nakashima, K. Teramoto, T. Nagai, S. Hoshino, and H. Yonemitsu. "TRIGGER DIGITS-ASSOCIATED CARPAL TUNNEL SYNDROME: RELATIONSHIP BETWEEN CARPAL TUNNEL RELEASE AND TRIGGER DIGITS." Hand Surgery 10, no. 02n03 (January 2005): 205–8. http://dx.doi.org/10.1142/s0218810405002905.
Full textAbstract:
Of 875 idiopathic carpal tunnel syndrome (CTS) cases, 101 (11.5%) required trigger digit release operations within three years before and/or after carpal tunnel release (CTR); these 101 cases were investigated, retrospectively. Trigger digit release (TDR) was performed most often after the CTR, especially within three months. Next most common was at the same time as the CTR. The TDR performance rate after CTR was 5.9%. The nerve conduction study (NCS) comparison between trigger digits-associated CTS and isolated CTS showed that pre-operative distal motor latency was significantly more delayed in trigger digits-associated CTS, while there was no evidence of any difference due to age or gender. The difference of operative method (open or endoscopic procedure) did not influence the incidence rate of trigger digits after the CTR. This study suggested that trigger digits-associated CTS has a previously developed wide-ranging narrowing of the flexor tendon sheath.
28
Elsaman, A., Y. Alzahrani, H. Alzahrani, and A. Radwan. "POS1389 IDIOPATHIC, RHEUMATOID ARTHRITIS AND DIABETES MELLITUS ASSOCIATED CARPAL TUNNEL SYNDROME: EVALUATION OF THE DEPTH OF THE CARPAL TUNNEL BY ULTRASONOGRAPHY." Annals of the Rheumatic Diseases 80, Suppl 1 (May 19, 2021): 977.2–977. http://dx.doi.org/10.1136/annrheumdis-2021-eular.717.
Full textAbstract:
Background:The depth of the carpal tunnel is a relatively new sonographic parameter for evaluation of carpal tunnel syndrome (CTS). It showed a sensitivity and specificity comparable to cross-sectional area measurement. So far it is not clear how the depth can changes with different types of CTS [1, 2].Objectives:is to assess the depth in 3 different types of CTS including idiopathic, rheumatoid arthritis, and diabetes mellitus associated CTS and to compare it with other sonographic and electro-physiologic scales.Methods:We included a total number of 360 participants; including 289 with CTS (60 idiopathic, 106 diabetes associated, and 123 rheumatoid arthritis associated CTS), all fulfilled the criteria for electro-physiologic diagnosis according to the American Association of Electro Diagnostic Medicine; along with 71 non-CTS cases (20 healthy controls, 20 RA and 31 diabetic patients). Median nerve cross-sectional area (CSA); flattening ratio (FR); and depth of the carpal tunnel (DCT) were measured for all participants.Results:We found the mean age 35.6±9.48 years. The female-to-male ratio was 47:13. The sensitivities for CSA, FR and DCT were 74.7%, 68.9%, and 75.1%; respectively, and the specificities were 91.6%, 63.4% and 87.3%; respectively. DCT was the best sonographic parameter with rheumatoid arthritis associated CTS (giving an accuracy of 88.6%) and CSA was the best in the other two types (giving an accuracy of 87.5% for idiopathic CTS and 83.4% for diabetes associated CTS). Table 1 summarizes the sensitivity statistics among each of the three groups and all over the study participants.Conclusion:The depth of the CTS showed the best accuracy in rheumatoid arthritis associated CTS followed by idiopathic CTS and finally diabetes mellitus associated CTS.References:[1]Elsaman AM, Thabit MN, Radwan AR, Ohrndorf S. Idiopathic Carpal Tunnel Syndrome: Evaluation of the Depth of the Carpal Tunnel by Ultrasonography. Ultrasound in medicine & biology 2015; 41: 2827-35.[2]AM E, Hamed A, Borai A, Radwan A. Carpal tunnel syndrome in rheumatoid arthritis patients: evaluation of the depth by ultrasonography.[3]Elsaman AM, Thabit MN, Radwan AR, Ohrndorf S. Idiopathic Carpal Tunnel Syndrome: Evaluation of the Depth of the Carpal Tunnel by Ultrasonography. Ultrasound in medicine & biology 2015; 41: 2827-35.Table 1.Sensitivity statistics for different US measures for CTSIdiopathicRADiabeticAllNumber of the CTS cases60123106289Number of the controls20203171CSASensitivity80%70.7%76.4%74.7%Specificity95%90%90.3%91.6%Accuracy87.5%80.4%83.4%83.1%FRSensitivity75%61.8%73.6%68.9%Specificity60%65%64.5%63.4%Accuracy67.5%63.4%69.1%66.1%DCTSensitivity75%82.1%67%75.1%Specificity85%95%83.9%87.3%Accuracy80%88.6%75.4%81.2%CSA: cross sectional area, FR: flattening ratio, DCT: Depth of the carpal tunnelDisclosure of Interests:None declared
29
Nkrumah, Gideon, Alan R. Blackburn, Robert J. Goitz, and John R. Fowler. "Ultrasonography Findings in Severe Carpal Tunnel Syndrome." HAND 15, no. 1 (July 20, 2018): 64–68. http://dx.doi.org/10.1177/1558944718788642.
Full textAbstract:
Background: Increasing severity of carpal tunnel syndrome (CTS), as graded by nerve conduction studies (NCS), has been demonstrated to predict the speed and completeness of recovery after carpal tunnel release (CTR). The purpose of this study is to compare the cross-sectional area (CSA) of the median nerve in patients with severe and nonsevere CTS as defined by NCS. Methods: Ultrasound CSA measurements were taken at the carpal tunnel inlet at the level of the pisiform bone by a hand fellowship–trained orthopedic surgeon. Severe CTS on NCS was defined as no response for the distal motor latency (DML) and/or distal sensory latency (DSL). Results: A total of 274 wrists were enrolled in the study. The median age was 51 years (range: 18-90 years), and 72.6% of wrists were from female patients. CSA of median nerve and age were comparatively the best predictors of severity using a linear regression model and receiver operator curves. Using cutoff of 12 mm2 for severe CTS, the sensitivity and specificity are 37.5% and 81.9%, respectively. Conclusions: Ultrasound can be used to grade severity in younger patients (<65 years) with a CTS-6 score of >12.
30
Sonohata, Motoki, Toshiyuki Tsuruta, Hiroko Mine, Akihiko Asami, Hideki Ishii, Kenji Tsunoda, and Masaaki Mawatari. "The Effect of Carpal Tunnel Release on Neuropathic Pain in Carpal Tunnel Syndrome." Pain Research and Management 2017 (2017): 1–8. http://dx.doi.org/10.1155/2017/8098473.
Full textAbstract:
Purpose.The aim of this study was to determine the risk factors of neuropathic pain (NP) in the patient with carpal tunnel syndrome (CTS) before and after the carpal tunnel release.Materials and Methods.One hundred and two CTS patients were enrolled in the study. The pain score was measured by the visual analogue score. NP was determined by the painDETECT (PD) questionnaire. All subjects were divided into 3 groups at 12 weeks after surgery: an Improved, Unchanged, and Worsened group. The risk factors of worsening NP after surgery were evaluated.Results.We found that 36% and 18% of patients with CTS had neuropathic pain before and 12 weeks after surgery, respectively, and pain was significantly stronger than in those without NP. The PD score of eight hands worsened after surgery. In the “Improved group,” the average age at the surgery was younger and the pain score was lower than in the “Unchanged group.”Conclusions.The surgery was very effective on NP of CTS; however, the PD in 7% of hands worsened after surgery. Risk factors before surgery that predicted worse NP after surgery were found to be a younger age, weaker pain, and the absence of night pain.
31
Amalia, Dasarina Rizqi, Ida Srisurani Wiji Astuti, and Yudha Nurdian. "Risk Factors Affecting Carpal Tunnel Syndrome in Women Laborer of Tobacco Warehouse Ajung District, Jember." Journal of Agromedicine and Medical Sciences 5, no. 2 (July 1, 2019): 41. http://dx.doi.org/10.19184/ams.v5i2.6489.
Full textAbstract:
Carpal Tunnel Syndrome frequently experienced by workers whose daily activities always use repetitive movements on the wrist. Carpal Tunnel Syndrome is a syndrome that can actually be prevented because there is no risk factor that can’t be changed except the age factor. Previous research has shown a fairly high prevalence about 42%-93% in factory workers. This study aims to determine the factors that affect the occurence of Carpal Tunnel Syndrome in women workers warehouse tobacco. This is an analytical observational study with cross sectional study design which using 50 samples who met inclusion and exclusion criteria. Instrument in this research is clinical questionnaire to diagnose CTS and Phalen test. Spearman correlation test result obtained long working p=0,036, r=0,298 and pain intensity p= <0,01, r=0,635 which means there is significant correlation with moderate strength between length of work with CTS and strong correlation between the intensity of pain with CTS.
Keywords: Carpal Tunnel Syndrome, risk factor, women laborer
32
Ganjoo, Sandesh, Diptiman Kaul, and Parvaiz Ahmed Shah. "Carpal tunnel syndrome in females: pregnancy and lactation the major risk factors." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 9 (August 27, 2018): 3512. http://dx.doi.org/10.18203/2320-1770.ijrcog20183366.
Full textAbstract:
Background: Carpal Tunnel Syndrome (CTS) is the most common entrapment neuropathy. CTS is more common in the age group of 45-65 years and more common in women than men. Several factors cause CTS, including pregnancy and lactation.Methods: The study was conducted on 60 females with carpal tunnel syndrome. Each patient was subjected to detailed history and relevant clinical examination with emphasis on elaborate neurological examination. Informed consent regarding participation into the study was taken from the patients. Patients suspected of suffering from carpal tunnel syndrome were subjected to nerve conduction study. Patients were classified into mild- moderate and severe carpal tunnel syndrome according to clinical and nerve conduction grading.Results: Out of 60 females, 21 were pregnant (35%) and 19 were lactating (31.7%). The mean age of presentation was 44.6±14.14 years with range from 22 to 63 years. Causes were attributed to Pregnancy (35%) lactation (31.7%), hypothyroidism (18.3%), occupational risk factors (15.85%) and gout (2.4%).Conclusions: Carpal tunnel syndrome has a high incidence in females. Sensory symptoms (paresthesia, numbness and nocturnal pain) were more common than symptoms of motor weakness. Dominant hand involvement was more common.
33
Hamid, Abdul, Zikri Fathur Rahman, Suherdin Suherdin, Sri Widati, and Y. Denny Ardyanto Wahyudiono. "Factors Related to Carpal Tunnel Syndrome (CTS) Complaints on Employees in the Bank BNI Branch of Palu." Jurnal Ilmu Kesehatan Masyarakat 11, no. 01 (June 10, 2020): 63–74. http://dx.doi.org/10.26553/jikm.2020.11.1.63-74.
Full textAbstract:
Carpal Tunnel Syndrome (CTS) is a disorder that occurs due to carpal tunnel or a gap in the lower hand to the wrist narrowing. The National Health Interview Study (NHIS) estimates that the reported prevalence of CTS among the adult population is 1.55% (2.6 million). This research was conducted at BNI Branch Bank Palu. The research objective is to determine the factors associated with complaints of Carpal Tunnel Syndrome (CTS) on employees at BNI Branch Bank Palu. The type of research used is quantitative using a cross-sectional approach. The number of samples was 109 people. Data were analyzed using the chi-square test at the level of confidence (ρ <0.05). The results showed that there was a relationship between years of service (ρ = 0.005), length of work (ρ = 0,000), repetitive movements (ρ = 0.001) and gender (ρ = 0.006) with complaints of Carpal Tunnel Syndrome (CTS) on employees at the Bank BNI Palu Branch. It is recommended to employees of Bank BNI Branch Palu to do muscle stretches such as moving the fingers, reducing the emphasis on the carpal tunnel, to avoid the danger of disturbances originating from repetitive and monotonous movements in the long term.
34
Farhan, Fanny S. "Faktor-faktor yang Mempengaruhi Timbulnya Carpal Tunnel Syndrome pada Pengendara Ojek." Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo 4, no. 2 (November 8, 2018): 123. http://dx.doi.org/10.29241/jmk.v4i2.114.
Full textAbstract:
ABSTRAK Carpal Tunnel Syndrome (CTS) adalah masalah kesehatan yang diakibatkan olehpenekanan atau terjepitnya saraf medianus yang melewati terowongan karpal pada ekstremitas atas. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi timbulnya keluhan tersebut pada pengendara ojek di Kecamatan Kramat Jati Jakarta Timur. Penelitian ini adalah penelitian observasional analitik dengan desain cross sectional. Responden adalah seluruh tukang ojek yang ditemuin selama kurun waktu penelitian di Kecamatan Kramat Jati berjumlah 96 orang. Instrument penelitian berupa kuesioner dan pemeriksaan tinnel test pada araf medianus. Berdasarkan analisis chi square, terdapat hubungan bermakna antara postur pergelangan tangan dengan keluhan CTS (p<0.05), faktor usia dengan keluhan CTS (p<0.05) dan indeks massa tubuh dengan keluhan CTS (p<0.05). Berdasarkan hasil penelitian, dapat diketahui tukang ojek yang mengalami keluhan Carpal Tunnel Syndrome sebanyak 72 responden (75%). Faktor yang dominan menyebabkan timbulnya keluhan CTS adalah postur pergelangan tangan, faktor usia dan indeks massa tubuh.Kata Kunci : Pergelangan Tangan, Ojek, Keluhan Carpal Tunnel Syndrome (CTS)
35
Soyuer, Ferhan. "Effectiveness of current physiotherapy in carpal tunnel syndrome." International Journal of Family & Community Medicine 5, no. 3 (May 31, 2021): 87–89. http://dx.doi.org/10.15406/ijfcm.2021.05.00228.
Full textAbstract:
Carpal Tunnel Syndrome (CTS) is a constellation of symptoms associated with compression of the median nerve at the wrist in the carpal tunnel. The main symptoms of CTS are numbness, pain and tingling of the first three fingers and radial side of the ring finger, nocturnal awakening is due to pain and impaired fine motor control because of weakness of the hand. Until now, the study results in which conservative methods have been applied in the treatment of CTS are contradictory. CTS rehabilitation includes laser therapy, ultrasound therapy, manual therapy, neurodynamic techniques, functional massage, splint, exercises etc. Alternative treatments for CTS include: acupuncture, massages, the Chinese cupping massage. The aim of this review is to explain the current physiotherapy methods applied in CTS patients and the research results on this subject.
36
Talmage, James B. "Carpal Tunnel Syndrome: Challenges in Impairment Rating." Guides Newsletter 1, no. 2 (November 1, 1996): 1–3. http://dx.doi.org/10.1001/amaguidesnewsletters.1996.novdec01.
Full textAbstract:
Abstract According to the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) the impairment rating of patients with Carpal Tunnel Syndrome (CTS) begins with a documented, objectively verifiable diagnosis by nerve conduction testing and is not based on symptoms only. A motor latency of more than 4.0 msec or a sensory latency of more than 3.7 msec clearly defines CTS, but the relative slowing of the median nerve should not be the basis of a CTS diagnosis for an impairment rating. After correct diagnosis, the next consideration is rating the impairment of patients with CTS who have not had surgery. The AMA Guides provides tables that summarize the calculations of common impairments and typically involve the maximal value of the median nerve's loss of function times a severity multiplier. Examples show the calculations for examples of impairment, including complete transection of the median nerve at the wrist, with and without severe reflex dystrophy (causalgia); a patient with CTS who has decreased two-point recognition (7-15 mm) but normal motor function, with and without normal sensation on two-point testing and no motor weakness. The article also discusses the questions that should be answered to determine if a patient who has had surgery for CTS has a permanent disability.
37
PADUA, L., R. PADUA, M. NAZZARO, and P. TONALI. "Incidence of Bilateral Symptoms in Carpal Tunnel Syndrome." Journal of Hand Surgery 23, no. 5 (October 1998): 603–6. http://dx.doi.org/10.1016/s0266-7681(98)80010-7.
Full textAbstract:
We prospectively studied 266 hands in 133 patients with carpal tunnel syndrome (CTS) in order to evaluate: the incidence of bilateral CTS symptoms; correlation between severity, duration of symptoms and bilateral occurrence of CTS; agreement of clinical and neurophysiological findings; and the neurophysiological findings in asymptomatic hands in unilateral CTS, The incidence of bilateral clinical CTS in our population was 87%. Neurophysiological impairment of median nerve was observed in about half of the asymptomatic hands. Follow-up of patients with unilateral CTS showed that contralateral symptoms developed in most cases. We found a significant positive correlation of bilateral CTS with the duration of symptoms, whereas there was no correlation with the severity of symptoms. Our data suggest that bilateral impairment of median nerve is the rule in patients with CTS and probably it has been underestimated in previous studies.
38
Makanji, H. S., M. Zhao, C. S. Mudgal, J. B. Jupiter, and D. Ring. "Correspondence between clinical presentation and electrophysiological testing for potential carpal tunnel syndrome." Journal of Hand Surgery (European Volume) 38, no. 5 (October 1, 2012): 489–95. http://dx.doi.org/10.1177/1753193412461860.
Full textAbstract:
The diagnosis of carpal tunnel syndrome (CTS) is often applied in the absence of objectively verifiable pathophysiology (i.e. electrophysiologically normal carpal tunnel syndrome). The primary purpose of this study was to determine whether depressive symptoms, heightened illness concern, and pain catastrophizing are associated with an absence of electrophysiological abnormalities. The secondary purpose was to examine the correspondence between the Levine scale, the CTS-6, and electrophysiological abnormalities. Ninety-eight participants completed validated questionnaires assessing psychosocial factors at the initial visit, and surgeons recorded clinical data and their confidence that the diagnosis was carpal tunnel syndrome. Symptoms and signs that are characteristic of carpal tunnel syndrome (e.g. the CTS-6 and Levine scale) significantly, but incompletely coincided with electrophysiological testing. Psychological factors did not help distinguish patients with normal and abnormal objective testing and it remains unclear if symptoms that do not coincide with abnormal tests represent very mild, immeasurable median nerve dysfunction or a different illness altogether. Future studies should address whether outcomes are superior and resource utilization is optimized when surgery is offered based on symptoms and signs (e.g. the CTS-6) or when surgery is offered on the basis of measurable pathophysiology.
39
Guerra, Ana Silva, Carlos Marques Correia, José Manuel Videira e Castro, and Maria Angélica Almeida. "MACROMASTIA: A RISK FACTOR FOR CARPAL TUNNEL SYNDROME?" Hand Surgery 16, no. 03 (January 2011): 283–87. http://dx.doi.org/10.1142/s0218810411005552.
Full textAbstract:
Purpose: To evaluate the prevalence of carpal tunnel syndrome (CTS) in a cohort of women with macromastia and to assess the evolution of the CTS signs and symptoms after breast surgery. Population: A series of 123 women was evaluated. CTS was defined by co-existence of symptoms, two physical findings and electrophysiological evaluation. One year after reduction mammaplasty, the 22 patients who had been diagnosed CTS were re-evaluated. Results: CTS group of women had a mean age of 38.8 years, mean body mass index of 28.5 kg/m2 and mean breast size of 35.9 cm. Age and nipple-to-sternal notch distance were statistically significantly associated with CTS (p = 0.001 and p = 0.001, respectively). A year after surgery 15 patients were re-assessed: nine patients reported absence or improvement of CTS symptoms while six patients reported symptoms persistence or worsening. Conclusion: Age, breast size, but not body mass index, have a positive correlation with the CTS.
40
Saleh, Waleed Riad, Hiroshi Yajima, and Akito Nakanishi. "ACUTE CARPAL TUNNEL SYNDROME SECONDARY TO CALCIFIC TENDINITIS: CASE REPORT." Hand Surgery 13, no. 03 (January 2008): 197–200. http://dx.doi.org/10.1142/s0218810408004080.
Full textAbstract:
Acute carpal tunnel syndrome (CTS) secondary to calcific deposition is rarely reported. In this article we describe a case of acute CTS in the dominant hand of a 94-year-old female patient secondary to calcific tendinitis within the carpal tunnel. Diagnosis was difficult clinically and radiologically. Urgent complete median nerve decompression led to a good clinical recovery.
41
Hasan, Md Israt, Mohammed Emran, Fatema Newaz, Md Atiquzzaman, Tawfiq Morshed, Amitav Banik, ABM Zafar Sadeque, and Shaila Sharmin. "Physiatric Management of Carpal Tunnel Syndrome." KYAMC Journal 10, no. 4 (March 1, 2020): 206–10. http://dx.doi.org/10.3329/kyamcj.v10i4.45721.
Full textAbstract:
Carpal Tunnel Syndrome (CTS) is the most common entrapment neuropathy of the upper limb. Diagnosis of CTS was rare before middle of the nineteenth century but in recent years it continues to be made with increasing frequency by the virtue of wide spread public awareness and highly specific diagnostic tests. Individuals engaged in repetitive works which involves flexion and extension of the wrist, strong grip or exposure to vibration are particularly at risk of developing the disease. It is now accounted amongst the common work related claimed disabilities in our country.
KYAMC Journal Vol. 10, No.-4, January 2020, Page 206-210
42
Steele, Jessica, and Christopher Coombs. "Carpal Tunnel Syndrome in Aberrant Muscle Syndrome: A Case Report and Review of the Literature." Journal of Hand Surgery (Asian-Pacific Volume) 23, no. 02 (May 7, 2018): 290–93. http://dx.doi.org/10.1142/s2424835518720207.
Full textAbstract:
Aberrant Muscle Syndrome (AMS) is a rare congenital hand difference that is characterised by unilateral non-progressive muscular hyperplasia. The aetiology of aberrant muscle syndrome is not known, but a recently published case has shown a somatic PIK3CA activating mutation in a patient with AMS. Carpal tunnel syndrome (CTS) in children is rare. The most common causes are the mucopolysaccaridoses but space-occupying lesions have also been reported to cause CTS in children. We report the first case of CTS in a child with AMS successfully treated with open carpal tunnel release and excision of aberrant muscles.
43
Freedman, Jonathan. "Acupuncture for Carpal Tunnel Syndrome." Acupuncture in Medicine 20, no. 1 (March 2002): 39–40. http://dx.doi.org/10.1136/aim.20.1.39.
Full textAbstract:
Acupuncture was used to treat a 51-year-old ‘lollipop lady’ (school crossing patrol officer), with severe carpal tunnel syndrome (CTS) affecting her dominant hand, and co-existing cervical spondylosis. I postulate that her symptoms were work related. She responded well to acupuncture, which provided good symptomatic treatment rather than cure and allowed her to continue working whilst she awaited surgical release.
44
Gupta, Sanjoy K., and Timothy J. Benstead. "Symptoms Experienced by Patients with Carpal Tunnel Syndrome." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 24, no. 04 (November 1997): 338–42. http://dx.doi.org/10.1017/s0317167100033023.
Full textAbstract:
ABSTRACT:Background:Patients with carpal tunnel syndrome (CTS) sometimes report sensory symptoms outside the median nerve distribution. This study was designed to provide a more detailed assessment of these symptoms.Methods:Patients with clinical suspicion of upper limb neuromuscular lesions were divided into those with electrodiagnostic (EDX) evidence of CTS, and those without. CTS patients with superimposed nerve abnormalities were excluded. Motor and sensory symptoms were assessed in the exclusive CTS patients.Results:Over 50% of patients with exclusive CTS reported tingling or numbness over the whole hand, ulnar or radial nerve distributions. Some patients reported symptoms proximal to the wrist. Sensory signs did not extend beyond the median nerve distribution. Numbness and nocturnal pain were predictive of positive EDX evidence of CTS.Conclusions:Sensory symptoms outside the distribution of the median nerve are common in CTS. For enhanced sensitivity in diagnosis it is useful to be aware of these “atypical” symptoms. Reports of numbness and nocturnal pain are strong indicators of CTS.
45
Nandini, Rizka Faliria, Mona Lestari, Novrikasari Novrikasari, Desheila Andarini, Anita Camelia, and Poppy Fujianti. "Carpal Tunnel Syndrome Complaints in Female Packing Workers." Jurnal Kesehatan Masyarakat 17, no. 3 (March 17, 2022): 354–61. http://dx.doi.org/10.15294/kemas.v17i3.27175.
Full textAbstract:
The estimated prevalence of Carpal Tunnel Syndrome (CTS) in the general population is 1-5%. CTS can be experienced by workers who use hand strength at work. PT. X is one company that still uses manual labor in the process of packing soap and vermicelli. The purpose of this study was to determine the correlation between repetitive movements, wrist posture, age, history of illness, Body Mass Index (BMI), and years of service on CTS complaints. The research method used a cross-sectional study with a sample of 65 workers. Univariate, bivariate, and multivariate data analyses were using the chi-square and binary logistic regression test. Analysis of CTS complaints using a questionnaire and Phalen’s test. The results showed that as many as 40 workers (61.5%) experienced complaints of CTS. The results of statistical tests showed that the variable BMI was the most influential factor for the complaints of CTS (p = 0.031). In addition, workers who experience CTS complaints can also be influenced by repetitive movement (p = 0.024), age (p = 0.022), and years of service (p = 0.024). To prevent the severity and relieve complaints of CTS, packing workers can do stretching, massage, independent acupressure massage, and maintain a healthy lifestyle.
46
QORIBULLAH, FATHUL. "HUBUNGAN GETARAN LENGAN-TANGAN DENGAN KELUHAN CARPAL TUNNEL SYNDROME PADA PEKERJA HOME INDUSTRY PANDAI BESI DI KECAMATAN SOKOBANAH SAMPANG." Medical Technology and Public Health Journal 4, no. 1 (March 25, 2020): 38–45. http://dx.doi.org/10.33086/mtphj.v4i1.1165.
Full textAbstract:
Carpal Tunnel Syndrome (CTS) adalah salah satu penyakit akibat kerja. CTS disebabkan oleh disfungsi saraf median yang terjadi karena peningkatan tekanan di terowongan karpal. Tujuan penelitian ini adalah untuk menganalisis hubungan antara keluhan getaran lengan-tangan Carpal Tunnel Syndrome di pandai besi Industri Rumah Tangga di Kabupaten Sokobanah. Desain penelitian dengan pendekatan Cross-Sectional. Populasi dan sampel yang diperoleh adalah semua pekerja pandai besi Industri Rumah Tangga di Kabupaten Sokobanah dengan 33 orang. Teknik pengambilan sampel menggunakan sampel jenuh adalah bahwa populasi memiliki kesempatan yang sama untuk dijadikan sampel. Variabel yang diteliti adalah getaran lengan-lengan dan keluhan Carpal Tunnel Syndrome. Instrumen penelitian yang digunakan adalah lembar kuesioner dan alat ukur (Vibration Meter). Analisis data menggunakan uji korelasi Spearman. Hasil penelitian menunjukkan bahwa sebagian besar (75,8%) terkena getaran tidak nyaman, sebagian besar (63,6%) memiliki keluhan CTS parah dan ada hubungan yang signifikan antara getaran lengan-tangan dan keluhan Carpal Tunnel Syndrome (p = 0,01). Disimpulkan bahwa paparan getaran lengan yang lebih tinggi dapat meningkatkan keluhan Carpal Tunnel Syndrome pada pekerja Home Industri pandai besi di Kabupaten Sokobanah. Direkomendasikan bagi Industri Rumah Tangga untuk meningkatkan pengawasan pekerja pandai besi melalui evaluasi kinerja dengan aspek kehati-hatian dalam bekerja dan menggunakan Alat Pelindung Diri (APD) untuk pekerja.
47
Caetano, Marcelo Ribeiro. "Axonal degeneration in association with carpal tunnel syndrome." Arquivos de Neuro-Psiquiatria 61, no. 1 (March 2003): 48–50. http://dx.doi.org/10.1590/s0004-282x2003000100008.
Full textAbstract:
Median nerve entrapment in the palm to wrist segment is known as carpal tunnel syndrome (CTS). Electromyography is the best evaluation test to confirm the disease, as it shows a median reduced conduction velocity and/or conduction block; however, the usual CTS electrodiagnostic tests do not separate segmental demyelination alone from segmental demyelination plus secondary axonal degeneration. We studied 100 hands from CTS patients (classified as mild, moderate, and severe), and 50 hands from normal subjects. The median palmar sensory nerve action potential (SNAP) amplitude was measured and compared between the two groups. It would be expected that SNAP was normal if no axonal degeneration had occurred. The results showed that in mild CTS group and part of moderate CTS group SNAP amplitude was normal, whereas in severe CTS group, and part of moderate group SNAP amplitude was reduced, proving that axonal degeneration was involved. As it is well stated that axonal lesions have worse prognosis than segmental demyelinating ones, this simple test may help to preditic the CTS outcome and treatment.
48
Zimmerman, Malin, Anders Gottsäter, and Lars B. Dahlin. "Carpal Tunnel Syndrome and Diabetes—A Comprehensive Review." Journal of Clinical Medicine 11, no. 6 (March 17, 2022): 1674. http://dx.doi.org/10.3390/jcm11061674.
Full textAbstract:
Carpal tunnel syndrome (CTS) is the most common compression neuropathy in the general population and is frequently encountered among individuals with type 1 and 2 diabetes. The reason(s) why a peripheral nerve trunk in individuals with diabetes is more susceptible to nerve compression is still not completely clarified, but both biochemical and structural changes in the peripheral nerve are probably implicated. In particular, individuals with neuropathy, irrespective of aetiology, have a higher risk of peripheral nerve compression disorders, as reflected among individuals with diabetic neuropathy. Diagnosis of CTS in individuals with diabetes should be carefully evaluated; detailed case history, thorough clinical examination, and electrophysiological examination is recommended. Individuals with diabetes and CTS benefit from surgery to the same extent as otherwise healthy individuals with CTS. In the present review, we describe pathophysiological aspects of the nerve compression disorder CTS in relation to diabetes, current data contributing to the explanation of the increased risk for CTS in individuals with diabetes, as well as diagnostic methods, treatment options, and prognosis of CTS in diabetes.
49
Kadarusman, Tamara Audrey, Hanik Badriyah Hidayati, and Paulus Sugianto. "Analgesic Drug Use for Carpal Tunnel Syndrome." JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga 10, no. 1 (January 30, 2019): 1. http://dx.doi.org/10.20473/juxta.v10i12019.1-4.
Full textAbstract:
AbstractIntroduction: Carpal tunnel syndrome (CTS) is a group of neuropathic symptoms regarding to the compression of median nerve which passing through carpal tunnel. There has been a great number of prevalence of CTS in Indonesia, which leads to decreasing quality of life, lack of work productivity, and increasing health cost. Analgesic treatments have been drug of choice for carpal tunnel syndrome for years. However, the effectiveness of the drug and the risk of adverse effect of drugs have always been an issue for analgesic use. An observational study on profile of analgesic drugs administration for carpal tunnel syndrome patients in Dr. Soetomo General Hospital SurabayaMethod: A descriptive observational retrospective study has been conducted to observe the profile of analgesic drugs administration, including type and dosage of drugs, classification of drugs, drugs administration route, early and advanced type of analgesics, and duration of analgesic administration. Sociodemographic data and clinical characteristics (main symptoms) of carpal tunnel syndrome patients are also included in this study.Results: Out of 202 subjects of this study, most patients are women (84,16%), the group age of 50-59 to years old, and the most frequent job is household wife (43,56%). The most common analgesic drugs used for carpal tunnel syndrome patients is 50 mg sodium diclofenac for 78 patients (38.61%). All of those subjects are administered with oral analgesic (100%). 185 patients (91.59%) are administered with analgesic combinations. The duration of analgesic usage are 7 days as an early analgesic in 82 patients (40.59%).Conclusion: CTS is a syndrome due to median nerve compression of the hand, Women, household wife, and age of 50-59 years old are found to be vulnerable to this syndrome. Analgesic drugs mostly used is 50 mg natrium diclofenac, orally, combined, with the period of 7 days for early medication
50
Ajeena, Ihsan M., Rihab H. Al-Mudhafar, Iman J. Al-Awadi, Hasanain A. Al-Khalidi, and Nawrass J. Alsalihi. "Diagnosis of Carpal Tunnel Syndrome: The Role of RANTES." NeuroQuantology 19, no. 4 (May 18, 2021): 65–70. http://dx.doi.org/10.14704/nq.2021.19.4.nq21038.
Full textAbstract:
Carpal tunnel syndrome (CTS) is regarded as most frequent entrapment neuropathy in upper extremities with high prevalence in females. It is a multi-factorial disease that had signs and symptoms due to compression of median nerve at the carpal tunnel in wrist, although may be asymptomatic. Immune system has been recognized as the main factor of neuropathic pain. Regulated on Activation, Normal T cell Expressed and Secreted (RANTES) is among the cytokines that revealed a dysregulated pattern of neuropathy specific cytokine profile in CTS and, in human, it is encoded by CCL5 gene. Sixty-four patients suffering from CTS were enrolled in this controlled cross sectional study. For all, nerve conduction study was performed to prove the diagnosis of CTS and to classify its severity. The mean age of all patients was 44.9±7.8 years, 89.1 % were female, 40.7% had mild type CTS and 40.7 % had right side CTS. 5 ml blood was obtained from each participant to measure the level of serum RANTES using specific ELISA kit. There was significant high RANTES levels in CTS patients when compared with its reference value. We conclude that RANTES level increases in patients with carpal tunnel syndrome and can be used as a predictor for its diagnosis despite its proposed neuroprotective role.