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The diagnostic efficacy of clinical findings and electrophysiological studies in carpal tunnel syndrome

Yıl 2017, Cilt: 3 Sayı: 1, 62 - 67, 04.03.2017
https://doi.org/10.18621/eurj.2017.5000195868

Öz

Objective. The aim of the study was to examine the relation between clinical findings, neurological examination and electrophysiological studies in diagnosing carpal tunnel syndrome (CTS) and share our institutional experience in patients with CTS. Methods. Patients presenting with complaints of pain, paresthesia, and weakness in hands who diagnosed CTS between 2014 and 2015 were examined retrospectively. Demographic characteristics, clinical and neurological examination findings and electrodiagnostic evaluations were analyzed. Results. A total of 348 patients were included to the study. Weight and height measurements were significantly higher in patients with CTS on the right side (p=0.05 and p=0.04, respectively). Right hand side was the most dominant lateralization in patients with CTS (p=0.001) but there was no significant correlation for left side (p>0.05). The score of visual analogue scale was positively correlated with the severity of CTS (p=0.001). Thenar atrophy, hypoesthesia, positivity of Tinel and Phalen tests were also related to bilateral CTS (p=0.001 for each). Conclusion. We agree that clinical features, neurological examination findings and electrophysiological studies are effective diagnostic means in patients with CTS. 

Kaynakça

  • [1] Ertekin C. Santral ve Periferik EMG Anatomi-Fizyoloji-Klinik. Izmir: Meta Basim Matbacilik Hizmetleri, 2006. pp. 403-27.
  • [2] Jablecki CK, Andary MT, Floeter MK, Miller RG, Quartly CA, Vennix MJ, et al. Practice parameter: electrodiagnostic studies in carpal tunnel syndrome. Report of the American Association of Electrodiagnostic Medicine, American Academy of Neurology, and the American Academy of Physical Medicine and Rehabilitation. Neurology 2002;58:1589-92.
  • [3] Galloway KM, Greathouse DG. Carpal tunnel syndrome in an adolescent with obesity. Pediatr Phys Ther 2016;28:248-52.
  • [4] 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;16:1094-104.
  • [5] Kurt S, Kisacik B, Kaplan Y, Yildirim B, Etikan I, Karaer H. Obesity and carpal tunnel syndrome: is there a causal relationship? Eur Neurol 2008;59:253-7.
  • [6] de Azevedo JW, de Oliveira AB, Nascimento Vd, de Paiva HR Jr, Viecili L, Rocha MA. Profile of patients on sick leave with carpal tunnel syndrome. Acta Ortop Bras 2015;23:244-6.
  • [7] Yazdanpanah P, Aramesh S, Mousavizadeh A, Ghaffari P, Khosravi Z, Khademi A. Prevalence and severity of carpal tunnel syndrome in women. Iran J Public Health. 2012;41:105-10.
  • [8] Eftekharsadat B, Babaei-Ghazani A, Habibzadeh A. The Efficacy of 100 and 300 mg Gabapentin in the treatment of carpal tunnel syndrome. Iran J Pharm Res 2015;14:1275-80.
  • [9] Jeong DH, Kim CH. The quantitative relationship between physical examinations and the nerve conduction of the carpal tunnel syndrome in patients with and without a diabetic polyneuropathy. Ann Rehabil Med 2014;38:57-63.
  • [10] Ma H, Kim I. The diagnostic assessment of hand elevation test in carpal tunnel syndrome. J Korean Neurosurg Soc 2012;52:472-5.
  • [11] de Jesus Filho AG, do Nascimento BF, Amorim Mde C, Naus RA, Loures Ede A, Moratelli L. Comparative study between physical examination, electroneuromyography and ultrasonography in diagnosing carpal tunnel syndrome. Rev Bras Ortop 2014;49:446-51.
  • [12] Ozdolap S, Sarikaya S, Sumer M, Atasoy T. [Relationship between clinical findings and electrodiagnostic studies in patients with carpal tunnel syndrome]. Turk J Phys Med Rehab 2005;51:134-7. [Article in Turkish]
  • [13] Vahdatpour B, Khosrawi S, Chatraei M. The role of median nerve terminal latency index in the diagnosis of carpal tunnel syndrome in comparison with other electrodiagnostic parameters. Adv Biomed Res 2016;5:110.
  • [14] Kanikannan MA, Boddu DB, Umamahesh, Sarva S, Durga P, Borgohain R. Comparison of high-resolution sonography and electrophysiology in the diagnosis of carpal tunnel syndrome. Ann Indian Acad Neurol 2015;18:219-25.
  • [15] Ciftdemir M, Copuroglu C, Ozcan M, Cavdar L. Carpal tunnel syndrome in manual tea harvesters. Eklem Hastalik Cerrahisi 2013;24:12-7.
  • [16] Karadag O, Kalyoncu U, Akdogan A, Karadag YS, Bilgen SA, Ozbakır S, et al. Sonographic assessment of carpal tunnel syndrome in rheumatoid arthritis: prevalence and correlation with disease activity. Rheumatol Int 2012;32:2313-9.
Yıl 2017, Cilt: 3 Sayı: 1, 62 - 67, 04.03.2017
https://doi.org/10.18621/eurj.2017.5000195868

Öz

Kaynakça

  • [1] Ertekin C. Santral ve Periferik EMG Anatomi-Fizyoloji-Klinik. Izmir: Meta Basim Matbacilik Hizmetleri, 2006. pp. 403-27.
  • [2] Jablecki CK, Andary MT, Floeter MK, Miller RG, Quartly CA, Vennix MJ, et al. Practice parameter: electrodiagnostic studies in carpal tunnel syndrome. Report of the American Association of Electrodiagnostic Medicine, American Academy of Neurology, and the American Academy of Physical Medicine and Rehabilitation. Neurology 2002;58:1589-92.
  • [3] Galloway KM, Greathouse DG. Carpal tunnel syndrome in an adolescent with obesity. Pediatr Phys Ther 2016;28:248-52.
  • [4] 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;16:1094-104.
  • [5] Kurt S, Kisacik B, Kaplan Y, Yildirim B, Etikan I, Karaer H. Obesity and carpal tunnel syndrome: is there a causal relationship? Eur Neurol 2008;59:253-7.
  • [6] de Azevedo JW, de Oliveira AB, Nascimento Vd, de Paiva HR Jr, Viecili L, Rocha MA. Profile of patients on sick leave with carpal tunnel syndrome. Acta Ortop Bras 2015;23:244-6.
  • [7] Yazdanpanah P, Aramesh S, Mousavizadeh A, Ghaffari P, Khosravi Z, Khademi A. Prevalence and severity of carpal tunnel syndrome in women. Iran J Public Health. 2012;41:105-10.
  • [8] Eftekharsadat B, Babaei-Ghazani A, Habibzadeh A. The Efficacy of 100 and 300 mg Gabapentin in the treatment of carpal tunnel syndrome. Iran J Pharm Res 2015;14:1275-80.
  • [9] Jeong DH, Kim CH. The quantitative relationship between physical examinations and the nerve conduction of the carpal tunnel syndrome in patients with and without a diabetic polyneuropathy. Ann Rehabil Med 2014;38:57-63.
  • [10] Ma H, Kim I. The diagnostic assessment of hand elevation test in carpal tunnel syndrome. J Korean Neurosurg Soc 2012;52:472-5.
  • [11] de Jesus Filho AG, do Nascimento BF, Amorim Mde C, Naus RA, Loures Ede A, Moratelli L. Comparative study between physical examination, electroneuromyography and ultrasonography in diagnosing carpal tunnel syndrome. Rev Bras Ortop 2014;49:446-51.
  • [12] Ozdolap S, Sarikaya S, Sumer M, Atasoy T. [Relationship between clinical findings and electrodiagnostic studies in patients with carpal tunnel syndrome]. Turk J Phys Med Rehab 2005;51:134-7. [Article in Turkish]
  • [13] Vahdatpour B, Khosrawi S, Chatraei M. The role of median nerve terminal latency index in the diagnosis of carpal tunnel syndrome in comparison with other electrodiagnostic parameters. Adv Biomed Res 2016;5:110.
  • [14] Kanikannan MA, Boddu DB, Umamahesh, Sarva S, Durga P, Borgohain R. Comparison of high-resolution sonography and electrophysiology in the diagnosis of carpal tunnel syndrome. Ann Indian Acad Neurol 2015;18:219-25.
  • [15] Ciftdemir M, Copuroglu C, Ozcan M, Cavdar L. Carpal tunnel syndrome in manual tea harvesters. Eklem Hastalik Cerrahisi 2013;24:12-7.
  • [16] Karadag O, Kalyoncu U, Akdogan A, Karadag YS, Bilgen SA, Ozbakır S, et al. Sonographic assessment of carpal tunnel syndrome in rheumatoid arthritis: prevalence and correlation with disease activity. Rheumatol Int 2012;32:2313-9.
Toplam 16 adet kaynakça vardır.

Ayrıntılar

Konular Sağlık Kurumları Yönetimi
Bölüm Original Article
Yazarlar

Nilufer Buyukkoyuncu Pekel

Pelin Nar Senol

Demet Yildiz

Ahmet Kasim Kilic

Deniz Kamaci Sener Bu kişi benim

Meral Seferoglu

Aygul Gunes

Yayımlanma Tarihi 4 Mart 2017
Gönderilme Tarihi 21 Temmuz 2016
Kabul Tarihi 5 Ekim 2016
Yayımlandığı Sayı Yıl 2017 Cilt: 3 Sayı: 1

Kaynak Göster

AMA Buyukkoyuncu Pekel N, Nar Senol P, Yildiz D, Kilic AK, Kamaci Sener D, Seferoglu M, Gunes A. The diagnostic efficacy of clinical findings and electrophysiological studies in carpal tunnel syndrome. Eur Res J. Mart 2017;3(1):62-67. doi:10.18621/eurj.2017.5000195868

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