AĞIR KARPAL TÜNEL SENDROMU İÇİN RİSK FAKTÖRLERİNİN İNCELENMESİ - EV HANIMLIĞI BİR RİSK Mİ?

Abstract

Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy. In this study, risk factors of severe CTS were examined. This study was conducted on 227 patients diagnosed with CTS in EMG laboratuary. The criteria of American Academy of Electrodiagnostic Medicine was used as the diagnosis for CTS. All patients were examined for bilateral median and ulnar motor and sensory peak latency, amplitude and conduction velocities. The patients were classified into 4 groups electrophysiologically; Normal, Light, Medium, Severe. Electrophysiological classification was compared with the identified risk factors. The mean age of the patients was 51.04±13.37 (min=18-max=83). Severe CTS cases in both hands were higher in housewives. Housewifery increased the risk of severe CTS in the right and left hand by 2.74 and 2.23 times, respectively. In addition, obesity increased the risk of severe CTS in the right and left hand by 5.10-4.40, presence of lateral epicondylitis was 2.73-4.19 and medial epicondylitis was 4.39-4.93, respectively. Hand dominancy was increased the risk of severe CTS by 6.88 times for the left hand and 1.15 times for the right hand. Otherwise in multivariate analyse of left hand results, obesity increase the risk of severe CTS by 3.34, left hand dominancy 7.83 times, chronic disease 2.62 times, and for the right hand being a housewife increases the risk by 2.14, obesity 4.68 times and medial epicondylitis 6.40 times. This study put forth that being a housewife, obesity, dominant hand, presence of lateral or medial epicondylitis are the risk factors of severe CTS.