Carpal tunnel syndrome: An evaluation clinical and sociodemographic characteristics of 350 patients

Yıl 2014, Cilt: 41 Sayı: 3, - , 01.09.2014

Nermin Tanık Ümit Sarp Asuman Çelikbilek Mehmet Uçar Özlem Balbaloğlu Hakan Ak Hasan Onur Arık Tugay Atalay

https://doi.org/10.5798/diclemedj.0921.2014.03.0470

Öz

Objective: This study aimed to define the sociodemographic and clinical characteristics of patients with carpal tunnel syndrome. Methods: The study comprised 350 patients diagnosed with carpal tunnel syndrome. Exclusion criteria were cervical radiculopathy, brachial plexopathy, thoracic outlet syndrome, polyneuropathy, pregnancy and a history of upper extremity trauma. The sociodemographic characteristics of the patients and the clinical characteristics of the carpal tunnel syndrome were recorded. Results: Of the total 350 patients, 86.2% were female, mean age was 52.5 years, 69.7% were obese, bilateral involvement was determined in 72.9% and the duration of symptoms was 3.0±0.9 years. 98.3% of the patients were married, 79.1% were housewives, 80.6% had a moderate income level, 59.6% were educated to primary school level and the most common accompanying disease was diabetes at a rate of 26.9%. Conclusion: The study results showed that in Central Anatolia, carpal tunnel syndrome was seen in middle-aged, obese, married housewives of moderate income and a low educational level. Generally, there was no accompanying disease, bilateral involvement was high and the disease was determined to have become chronic. With the detailed examination of the sociodemographic data of carpal tunnel syndrome patients, a good definition of a profile specific to this society will contribute to the treatment process.

Anahtar Kelimeler

Carpal tunnel syndrome, Sociodemographic features, Central Anatolia Region

Karpal tünel sendromu: 350 hastanın klinik ve sosyodemografik özelliklerinin değerlendirilmesi

Öz

Amaç: Bu çalışmada karpal tünel sendromlu hastaların sosyodemografik ve klinik özelliklerini belirlemeyi amaçladık. Yöntemler: Çalışmaya karpal tünel sendromu tanısı olan 350 hasta dahil edildi. Servikal radikülopati, brakial pleksopati, torasik çıkış sendromu, polinöropati, gebelik ve üst ekstremite travması öyküsü olanlar çalışma dışı bırakıldı. Hastaların sosyodemografik özellikleri ve karpal tünel sendromunun klinik özellikleri kaydedildi. Bulgular: Hastaların yaş ortalaması 52,5 yıldı, %86,2\'si kadın, %69,7\'si obez idi. Çift taraflı el tutulumu oranı %72,9, ortalama semptom süresi 3,0±0,9 yıldı. Hastaların %98,3\'ü evli, %79,1\'i ev hanımı, %80,6\'sı orta düzey gelire sahip, %59,6\'sı ilköğretim düzeyinde eğitim almıştı. Tip 2 diyabet %26,9 en sık eşlik eden hastalıktı. Sonuç: Orta Anadolu bölgesinde karpal tünel sendromu en sık orta yaşlı, obez, evli, düşük eğitim seviyeli ve orta düzey gelire sahip ev kadınlarında görülmektedir. Genelde ek sistemik hastalığın eşlik etmediğini, bilateral tutulumun yüksek olduğunu ve hastalığın kronikleştiğini saptadık. Karpal tünel sendromuna ait özellikle sosyodemografik verileri ayrıntılı olarak incelediğimiz bu çalışmada, topluma özgü profilin iyi bilinmesinin tedavi sürecine katkı sağlayacağını düşünmekteyiz.

Anahtar Kelimeler

Karpal tünel sendromu, Sosyodemografik özellikler, İç Anadolu Bölgesi

Kaynakça

• Robinson LR. Role of neurophysiologic evaluation in diagno- sis. J Am Acad Orthop Surg 2000;8:190-199.
• Bland J.D.P. The value of the history in the diagnosis of carpal tunnel syndrome. J Hand Surg Br 2000;25:445-450.
• Kouyoumdjian JA, Zanetta DM, Motita MP. Evaluation of age, body mass index, and wrist index as risk factors for carpal tunnel syndrome severity. Muscle Nerve 2002;25:93-97
• Bland JDP. Do nerve conduction studies predict the outcome of carpal tunnel decompression?. Muscle Nerve 2001;24:935- 940.
• Özdemir G, Demir R, Özel L, Ulvi H. The effect of steroid injection by novel method in carpal tunnel syndrome on pain severity and electrophysiological findings. Dicle Med J 2014;41:277-281.
• Zarrabian MM, Johnson M, Kriellaars D. The relationship be- tween sleep, pain and disability in patients with spinal pa- thology. Arch Phys Med Rehabil doi: 10.1016 / pii: S0003- 9993:00221-4.
• Roane BM, Johnson L, Edwards M, et al. The link between sleep disturbance and depression among Mexican Americans: A Project FRONTIER Study J. Clin Sleep Med 2014;10:427- 431.
• Umay E, Polat S, Unlü E, Celik O, Cakcı A.Demographic Characteristics of our patients with carpal tunnel syndrome. Türkiye J Clin Anal Med 2011;2:63-65.
• American Academy of Neurology, American Association of Electrodiagnostic Medicine and the American Academy of Physial Medicine and Rehabilitation. Practice parameter for electrodiagnostic studies in carpal tunnel syndrome (sum- mary statement). Neurology 1993; 43:2404-2405.
• WHO Expert Committee. Physical Status: The Use and In- terpretation of Anthropometry. 1995; WHO Technical Report Series no. 854. Geneva: WHO.
• Atroshi I, Gummesson C, Johnsson R, et al. Prevalence of carpal tunnel syndrome in a general population. JAMA 1999;282:153-158.
• Tseng CH, Liao CC, Kuo CM, et al. Medical and non-medical correlates of carpal tunnel syndrome in a Taiwan cohort of one million. Eur J Neurol 2012;19:91-97.
• Scalco RS, Pietroski F, Celli LF, et al. Seasonal variation in prevalence of carpal tunnel syndrome. Muscle Nerve 2013;47:925-927.
• Mondelli M, Giannini F, Giacchi M. Carpal tunnel syndrome incidence in a general population. Neurology 2002;58:289- 294.
• Chacko JP, Chand RP, Bulusu S, Tharakan JJ. Clinical profile of Carpal Tunnel Syndrome in Oman. Neurosciences (Ri- yadh) 2000;5:223-225.
• Nathan PA, Keniston RC, Myers LD, Meadows KD. Obe- sity as a risk factor for slowing of sensory conduction of the median nerve in industry. A cross-sectional and longitudinal study involving 429 workers. J Occup Med 1992;34:379-383.
• Moghtaderi A, Izadi S, Sharafadinzadeh N. An evaluation of gender, body mass index, wrist circumference and wrist ratio as independent risk factors for carpal tunnel syndrome. Acta Neurol Scand 2005;112:375-379.
• Ozcan TA, Ozcan H, Isık HS. Carpal Tunnel Syndrome: Re- lationship between Occupational Risk Factors and Nondomi- nant Hand. Türkiye Klinikleri J Med Sci 2013;33:396-400.
• Jenkins PJ, Srikantharajah D, Duckworth AD, et al. Carpal tunnel syndrome: associations between risk factors and later- ality. J Hand Surg Eur Vol 2013;38:67-72.
• J Armstrong T, Dale AM, Franzblau A, Evanoff BA. Risk fac- tors for carpal tunnel syndrome and median neuropathy in a working population. J Occup Environ Med 2008;50:1355- 1364.
• Borhan Haghighi A, Khosropanah H, Vahidnia F, et al. Asso- ciation of dental practice as a risk factor in the development of carpal tunnel syndrome. J Dent (Shiraz) 2013;14:37-40.
• Shiri R. The prevalence and incidence of carpal tunnel syn- drome in US working populations. Scand J Work Environ Health 2014;40:101-102.
• Abumunaser LA. Demographic pattern of carpal tunnel syn- drome in western Saudi Arabia. Neurosciences (Riyadh) 2012;17:44-47.