Incidence Of Carpal Tunnel Syndrome Research Articles

Correlation between Palmaris Longus Muscle and Carpel Tunnel Syndrome in Badminton Players

Background: Carpal Tunnel Syndrome (CTS) is commonly observed in athletes, especially those engaged in sports involving repetitive wrist activities. The role of the Palmaris Longus Muscle (PLM) in the development of CTS has been a subject of interest due to its anatomical location. Objective: To examine the correlation between the presence or absence of the PLM and the incidence of CTS among badminton players. Methods: In this cross-sectional study, 258 badminton players aged 18-23 years were assessed. Players with a history of carpal tunnel release surgery were excluded. The presence of the PLM was evaluated using Schaeffer’s test, while Phalen’s test was used to diagnose CTS. Statistical analysis involved chi-square tests to determine the association between PLM and CTS. Results: Of the participants, 193 (74.8%) had a positive Schaeffer’s test (indicating the presence of PLM), and of these, 72 (37.3%) also had a positive Phalen’s test (indicative of CTS). Conversely, among the 65 (25.2%) with a negative Schaeffer’s test, only 10 (15.4%) had a positive Phalen’s test. The chi-square analysis yielded a P-value of 0.001, indicating a statistically significant association between the presence of PLM and the occurrence of CTS. Conclusion: There is a significant correlation between the presence of the Palmaris Longus Muscle and the development of Carpal Tunnel Syndrome in badminton players. These findings underscore the importance of considering anatomical variations in PLM during the assessment and management of CTS in athletes.

Clinical Symptoms of Carpal Tunnel Syndrome and Its Correlation With Vitamin D Level

Carpal tunnel syndrome (CTS) is a common entrapment neuropathy of the peripheral nerves in the upper extremities that is often found in workers. Nerve conduction disorders occur due to compression of the carpal tunnel, resulting in motor and sensory symptoms in the hands and wrists. This causes clinical symptoms and characteristic neurophysiological examinations. Vitamin D is an intrinsic factor that causes CTS which is now widely studied and is expected to play a role in the choice of CTS management. Vitamin D is important for maintaining health and has been found to have neuroprotective function. Several studies have proven the association between vitamin D deficiency and the incidence of CTS. Supplementation can improve clinical symptoms and neurophysiological features of mild to moderate CTS patients.

The Relationship Between Work Duration and Carpal Tunnel Syndrome in Cigarette Rolling Workers

Aims: This study aimed to identify the correlation between the length and the period of Work correlated with the incidence of carpal tunnel syndrome among cigarette rolling workers at the Breadfruit Factory. Methods: This is an analytic observational study with a cross-sectional method. It utilizes the sample selection method of purposive sampling. The information collection tool consists of questions covering personal information, length of service, and physical examination sheets. Statistical test implemented with Chi-square. Results: The number of cigarette rolling workers used as the sample for this study was 103 people. The statistical test results applying chi-square work duration obtained p-value = 0.005 (p ≤0.05), a p-value of 0.000 (p ≤0.05) was obtained for years of service, indicating a correlation between length of Work and working time with the possible occurrence of Carpal Tunnel Syndrome (CTS) in workers. Conclusion: There is a significant correlation between length of Work and duration of Work on the emergence of CTS symptoms. As a form of prevention, occupational health and safety nurses can provide adequate education to cigarette companies to pay attention to employee conditions and the possibility of health problems occurring for their employees.

MANAGEMENT OF CARPAL TUNNEL SYNDROME IN AYURVEDA: A CASE STUDY

Carpal tunnel syndrome is the most common compression neuropathy of the median nerve at the level of the wrist. It is an occupational disease commonly seen in dentists, soldiers, and laboratory workers who make repetitive upper limb movements. The incidence of Carpal tunnel syndrome is 1-3 cases per 1000 subjects per year; the prevalence is approximately 50 cases per 1000 subjects in the general population. There is no direct reference in Ayurveda; the symptoms can be compared to Vishwachi. In contemporary medicine, analgesic tablet liniments are prescribed, temporarily providing temporary symptomatic relief. Surgery is advised as a relief measure. In this single case study, a 60-year-old male patient with complaints of pain, tingling sensation in the wrist, fingers of the right hand and inability to perform daily activities for eight months is considered. He was diagnosed with Carpal tunnel syndrome. He is treated by snehana nasya, one of the Panchakarma indicated in urdhwajatrugata vyadhi, along with sthanika abhyanga and Kukkutanda pinda sweda which proved very beneficial and effective in relieving the symptoms of the patient. Treatment by Ayurveda is the current need as there is no effective treatment for complete management of the condition in conventional medicine.

The Effect of Body Mass Index on Open Carpal Tunnel Release Recovery

The purpose of this study was to determine whether a relationship exists between body mass index (BMI), specifically obesity, and surgical outcomes for open carpal tunnel release. Obesity is correlated with increased incidence of carpal tunnel syndrome; however, the effect of obesity on after release recovery has not been examined. This study used a retrospective review of patient charts (n= 142). BMI was calculated based on height and weight measurements, and patients were grouped based on their BMI into the following categories: healthy BMI (18.5-24.9 kg/m2), overweight (25-29.9 kg/m2), obesity class one (30-34.9 kg/m2) (OB1), obesity class (2 35-39.9 kg/m2) (OB2), or obesity class three (40+ kg/m2) (OB3). Data were then complied on surgical outcomes by assessing preoperative pain, postoperative pain at 2 and 6 weeks, postoperative joint stiffness, wound healing time, and infection status. Data were analyzed using chi-square analyses and multivariable logistic regression to assess the differences in treatment outcomes while controlling for possible confounding variables. Age at the time of release was found to be inversely correlated with BMI. Healthy BMI patients (n= 19) underwent release at an average age of 59.1 years, whereas OB3 (n= 30) underwent release at an average age of 46.9 years. The odds of improvement in pain were significantly lower in all three obesity groups when compared with healthy BMI at both 2 and 6 weeks after operation. Our results indicate that obesity may be positively correlated with earlier incidence of carpal tunnel syndrome requiring surgical intervention. These data also indicate the increased rates of postoperative complications in obese patients, particularly patients with OB3. Patients with OB3 need to understand these risks before undergoing open release. Further study should examine the impact of type 2 diabetes on carpal tunnel release recovery. The information included in this study may be used to guide surgeons and patients when considering the effect and potential improvement in outcomes that may come from addressing patient BMI before open carpal tunnel surgery.

Incidence of Carpal Tunnel Syndrome and Other Coexisting Brachial Plexus Neuropathies in Bullseye Shooters—A Pilot Retrospective Clinical and Neurophysiological Assessment

Shooting may impact the frequency of neuropathies in the upper extremity nerves or of cervical disc–root conflicts. This study was undertaken to assess whether shooting sports trained with a handgun by civilians may influence the risk factor for carpal tunnel syndrome (CTS) and other neuropathies of the brachial plexus nerve fibers. Neurophysiological studies using surface electromyography (rEMG at rest and mcEMG during maximal contraction), electroneurography (ENG), and motor-evoked potential recordings (MEPs) were performed in a select population of nine shooters, which were rigorously screened as positive through a clinical examination for carpal tunnel syndrome and other brachial plexus neuropathies among a population of forty-two subjects, to confirm the existence of pathologies in the upper extremities. Increased muscle tension in rEMG and a simultaneous decrease in motor unit activity in mcEMG were recorded both in the proximal and distal muscles of the upper extremities more frequently in the shooters than in the healthy controls—volunteers. An ENG examination confirmed CTS in the shooting hand of four subjects (4/42; 9.5%), additionally revealing a significantly decreased F-wave at the C6–C7 levels in the dominant extremities of the shooting group in comparison to the control population (p = 0.05). All the examined subjects had revealed brachial plexus pathologies on both sides according to the results of the MEP recordings upon stimulation at the C4–C8 levels (various significant differences between the shooters and control group were found), and two had ulnar neuropathy in the wrist on the shooting side. It was concluded that shooting sports are a moderate risk factor for carpal tunnel syndrome and that they significantly influence the development of other brachial plexus neuropathies.

Overview of Carpal Tunnel Syndrome Events at Tarakan Hospital in 2019-2021

Excessive activity on the hands or wrists will be very risky for experiencing one of the diseases, namely carpal tunnel syndrome. According to the American Academy of Family Physicians, the incidence of carpal tunnel syndrome is 329 cases per thousand people per year. Another study says the incidence of carpal tunnel syndrome in the United States is about 150 cases per thousand people per year. While the incidence of carpal tunnel syndrome in Indonesia itself is not known with certainty. This study aims to determine the distribution of age, gender, and occupation on the incidence of carpal tunnel syndrome at the Tarakan Regional General Hospital in 2019-2021. The research method is a descriptive method with a cross sectional approach, data is taken from the medical records of Tarakan Hospital in 2019-2021 with a diagnosis of carpal tunnel syndrome which is enforced based on NCS - EMG examinations until the minimum number of samples is met. The results showed that age (46-55 years), women, and occupations of administrative staff ranked first and it could be concluded that they had a higher risk of developing carpal tunnel syndrome.

Libération du canal carpien sous WALANT chez les patients hémodialysés avec shunt artério-veineux

IntroductionLong-term hemodialysis patients experience many hand diseases caused by dialysis-related amyloidosis (DRA), with carpal tunnel syndrome (CTS) being the most common. For the patients with arteriovenous (AV) shunt, surgical decompression remains challenging because of the contraindications of a tourniquet. A technique called wide-awake local anesthesia with no tourniquet (WALANT), in which epinephrine provides hemostasis instead of the tourniquet, can be a good option for hemodialysis patients. The purpose of this study was to assess the prevalence of CTS and related factors in hemodialysis patients and to establish the efficacy and safety of WALANT on hemodialysis patients with AV shunt. Materials and methodsThis prospective study included 275 hemodialysis patients between March 2013 and July 2019. Forty-three patients were diagnosed with CTS, involving surgical treatment on 70 wrists. We performed mini-open carpal tunnel release using WALANT on the AV shunt arm (defined as the WALANT group), while using lidocaine and a tourniquet on the arm without an AV shunt (defined as the tourniquet group). The operative time, surgical field bleeding (blood loss and hemostasis score), surgical pain (injection pain and tourniquet pain), outcomes, complications, and satisfaction were compared between the two groups. ResultsThe incidence of CTS in hemodialysis patients was 15.6%. Longer dialysis durations were related to higher proportions of patients with CTS. There was no significant difference in blood loss (p=0.184) and hemostasis score (p=0.165) between the two groups. Clinical symptoms improved in all patients and there were no severe complications. The WALANT group had a significantly longer preparation time of approximately 20minutes, but they had low injection pain and no tourniquet pain. There was also no significant difference in terms of satisfaction levels (p=0.212). DiscussionCTS is a very common disease among hemodialysis patients. WALANT provided sufficient hemostasis without a tourniquet, despite the patients’ high bleeding tendency. The technique also had the advantages of low injection pain, no tourniquet pain, and no major complications. In this respect, WALANT can be a good choice for hemodialysis patients with AV shunt. Level of evidenceII.

Incidence of Carpal Tunnel Syndrome in Distal Radius Fractures Treated by Various Modalities in a Tertiary Care Center: A Single Center Study.

Background Distal end radius fractures (DRF), which account for 17.5% of all fractures, are the most frequent fracture seen in emergency rooms. In patients with DRFs, delayed carpal tunnel syndrome (CTS) occurs in about 20% of cases. When patients are treated with DRFs using different modalities, CTS results in poor functional outcomes. Our study aims to identify the prevalence of CTS in DRF patients receiving treatment with various modalities. Materials and methods Two hundred twenty patients with a history of DRFs who were treated by a variety of modalities at R.L. Jalappa Hospital and Research Center between January 2013 and January 2018 are included in this retrospective analysis. The medical records from the department of the hospital's paperwork were used to gather the patient's information and radiographs. The information was gathered, tabulated, and examined. Results In our study, the incidence of CTS in DRF was calculated using a sample size of 220 and found to be 32.73%. The incidence of CTS was shown to be higher in groups with more comminution than less comminution when treatment modalities were analyzed. These groups included closed reduction and internal fixation (CRIF)/open reduction and internal fixation (ORIF) with K wire, external fixation, conservative with the cast, ORIF with variable angle volar locking plate (VAVLP), and ORIF with volar T locking plates (VTLP). Conclusions After DRFs, carpal tunnel syndrome is the most significant consequence limiting functional results, hence preventing it requires considerably more attention and care.

Risk Fastors for Carpal Tunner Syndrome in Pregnant Women: A Literature Review

Carpal tunnel syndrome (CTS) is a symptom of compression neuropathy that occurs in the hands, specifically the median nerve. The incidence of carpal tunnel syndrome in adults is known to be around 0.7% -9.2% in women, while in men it is around 0.4% -2.1%. The incidence of carpal tunnel syndrome has a 3x greater risk in women compared to men and 2-3 times more common in pregnant women than those who are not pregnant. The purpose of this paper is to determine the risk factors for carpal tunnel syndrome in pregnant women. This research is a literature review as secondary research with analytic research type using observational research methods and quantitative approaches. This literature search was conducted at JKKI using keywords such as carpal tunnel syndrome, pregnant women, and risk factors. The etiology of CTS during pregnancy is still unknown but there are several risk factors that can cause carpal tunnel syndrome in pregnant women such as edema or water retention, hormonal changes, gestational hypertension with preeclampsia, diabetes mellitus, hypothyroidism, nerve hypersensitivity, sleeping position, relaxin hormone, increase in fatty tissue during pregnancy, and changes in uterine size.

Yuna Gloves, Sarung Tangan Anti Carpal Tunnel Syndrome (CTS)

<em>Carpal Tunnel Syndrome (CTS) is a symptom of compression neuropathy of the median nerve at the wrist. Characterized by increassed pressure in the carpal tunnel and decreased nerve function. The Most Common Complain are pain, numbness and tingling along the distribution of the median nerve. The prevalence of carpal tunel syndrome in the adult population ranges from 0.7 – 9.2%, 0.4% in women and 2.1% in men. Women have a riskof developing CTS 3 times higher in pregnant women then in non-pregnant women. The purpose of this study was tu produce yuna gloves which were effective in reducing the incidence of CTS in pregnant women at the Cipanas Health Center in 2021. This study was conducted using the case control method, which is to campare existing Products with research products. This researche process lasted for 3 months. The population in this study were all pregnant women in the third trimester at the Cipanas Public Health, which amaunted to 150 people, the sample in this study amounted 33 people. From the results of the case study, its expected to further improve the quality of service delivery for health workers, aspecially in handling cases of CTS in pregnant women at the Cipanas Health Center.</em>

The Incidence of Double Crush Syndrome in Surgically Treated Patients.

Retrospective Cohort Study. Cervical radiculopathy and peripheral entrapment neuropathies often have overlapping symptoms that are difficult to distinguish on physical examination. Small-scale studies have attempted to report the incidence of this phenomenon, often called double crush syndrome (DCS), with varying results. The present study aims to determine the incidence of concomitant cervical radiculopathy and peripheral nerve compression and to determine if the DCS hypothesis, which states that compression of a nerve at one site leaves it more susceptible to compression at another, is valid. The PearlDiver database was queried from 2010 to 2020. The incidence of peripheral neuropathy in cervical radiculopathy was assessed. Propensity score matching was used to determine if patients with cervical radiculopathy were more likely to have peripheral nerve compression compared to controls, and vice versa, to test the DCS hypothesis. The database contains records of 90,772632 patients. The incidence of carpal tunnel syndrome (CTS) or peripheral ulnar nerve compression (PUnC) in cervical radiculopathy was 9.98% and 3.15%, respectively. The incidence of both carpal tunnel syndrome and PUnC in cervical radiculopathy was 1.84%. Patients with cervical radiculopathy were more likely than matched controls to have both CTS (P < .001) and PUnC (P < .001). Patients with CTS (P < .001) and with PUnC (P < .001) were more likely to have cervical radiculopathy than the control cohort. The incidence of DCS is reported. Patients with cervical radiculopathy are more likely than matched controls to have peripheral nerve compression, and vice versa, in support of the DCS hypothesis.

CARPAL TUNNEL SYNDROME (CTS) FOR WORKERS USING COMPUTER IN THE FINANCE DIVISION OF PROPERTY INDUSTRY

Background: One of the occupational diseases is Carpal Tunnel Syndrome (CTS). CTS is a condition in which the hand feels tingling, numb, painful, or weak. This syndrome occurs when the nerves inside the wrist are squeezed or compressed. Jobs that are at risk of CTS involve doing repetitive movements, working with awkward postures, working in a motorized vehicle production or working using computers. Purpose: To determine the factors associated with the incidence of CTS in workers that used computers in the finance division of Property Industry. Method: This research used quantitative research with cross-sectional design with a total sample of 34 respondents who worked in the finance division. The data were obtained through secondary data and questionnaires with direct observation and variables including gender, age, length of service, working period and awkward hand postures. The analysis carried out includes univariate and bivariate analyses using the chi-square test. Result: The univariate analysis of the respondents indicated there were 22 people (68.8%) experiencing CTS. Further, there were 22 people (75.5%) at risk from gender proportion, 22 people (68.8%) from age, 26 people (81.3%) from length of service, 22 people (68.8%) from long working period, and 24 people (74.0%) from awkward postures. Conclusion: There is a relationship between length of service, posture and the incidence of CTS on the workers using computers from the financial division of Property Industry.

Hubungan Repetitive Motion dan Masa Kerjadengan Kejadian Carpal Tunnel Syndrome pada Penjahit di Kelurahan Belian Kota Batam

Background :Carpal tunnel syndrome is a collection of symptoms due to compression of the median nerve in the carpal tunnel at the wrist, one of the risk factors for the occurrence of carpal tunnel syndrome, namely repetitive motion and working period. The purpose of this study was to determine the relationship between repetitive motion and tenure with the incidence of carpal tunnel syndrome in tailors. &#x0D; Method :This type of research is an analytic study with a cross sectional approach conducted on tailors in Belian Village, Batam City. The sampling technique was simple random sampling with a total sample of 44 respondents. The results of the study were analyzed by chi-square.&#x0D; Result :From the results of the calculation of the chi square test, the results obtained with a value of p = 0.001 (p 0.05), namely there is a relationship between years of service and the incidence of carpal tunnel syndrome in tailors and the results are obtained with a value of p = 0.002 (p 0.05), namely there is The relationship between repetitive motion and the incidence of carpal tunnel syndrome in tailors in Belian Village, Batam City&#x0D; Conclusion :Based on this research, there is a relationship between repetitive motion and length of service with the incidence of carpal tunnel syndrome in tailors in Belian Village, Batam City in 2021.

Carpal tunnel release under wide awake local anesthesia with no tourniquet in hemodialysis patients with arteriovenous shunt

IntroductionLong-term hemodialysis patients experience many hand diseases caused by dialysis-related amyloidosis (DRA), with carpal tunnel syndrome (CTS) being the most common. For the patients with arteriovenous (AV) shunt, surgical decompression remains challenging because of the contraindications of a tourniquet. A technique called wide-awake local anesthesia with no tourniquet (WALANT), in which epinephrine provides hemostasis instead of the tourniquet, can be a good option for hemodialysis patients. The purpose of this study was to assess the prevalence of CTS and related factors in hemodialysis patients, and to establish the efficacy and safety of WALANT on hemodialysis patients with AV shunt. Materials and methodsThis prospective study included 275 hemodialysis patients between March 2013 and July 2019. 43 patients were diagnosed with CTS, involving surgical treatment on 70 wrists. We performed mini-open carpal tunnel release using WALANT on the AV shunt arm (defined as the WALANT group), while using lidocaine and a tourniquet on the arm without an AV shunt (defined as the tourniquet group). The operative time, surgical field bleeding (blood loss and hemostasis score), surgical pain (injection pain and tourniquet pain), outcomes, complications, and satisfaction were compared between the two groups. ResultsThe incidence of CTS in hemodialysis patients was 15.6%. Longer dialysis durations were related to higher proportions of patients with CTS. There was no significant difference in blood loss (p=0.184) and hemostasis score (p=0.165) between the two groups. Clinical symptoms improved in all patients, and there were no severe complications. The WALANT group had a significantly longer preparation time of approximately 20minutes, but they had low injection pain and no tourniquet pain. There was also no significant difference in terms of satisfaction levels (p=0.212). DiscussionCTS is a very common disease among hemodialysis patients. WALANT provided sufficient hemostasis without a tourniquet, despite the patients’ high bleeding tendency. The technique also had the advantages of low injection pain, no tourniquet pain, and no major complications. In this respect, WALANT can be a good choice for hemodialysis patients with AV shunt. Level of evidenceII.

Incidence of Carpal Tunnel Syndrome Requiring Surgery May Increase in Patients Treated with Trigger Finger Release: A Retrospective Cohort Study.

PurposeThe correlation between carpal tunnel syndrome (CTS) surgery and trigger finger (TF) surgery is unclear; we conducted this nationwide population-based study to assess the development of severe CTS requiring surgery after TF surgery.Patients and MethodsThis retrospective cohort study used the data of patients diagnosed as having TF between January 1, 2001, and December 31, 2017, and they were divided into two comparative groups. Patients who underwent surgical release within 1 year of diagnosis were included in the TF-OP group, and those who did not undergo TF release during the same period were included in the TF-NOP group. The primary outcome was the new incidence of CTS release (CTR), and data on the related risk factors were collected for analysis.ResultsA total of 8232 patients each were enrolled into the TF-OP and TF-NOP groups and were 1:1 propensity score matched (mean patient age, 54.7 ± 10.1 years; mean follow-up duration, 6.58 years). The incidence rate of CTR was 1.1 per 1000 person-years in the TF-OP group and 0.7 per 1000 person-years in the TF-NOP group. The adjusted hazard ratio of TF surgery was 1.51. The factors significantly correlated with an increased incidence of CTR were age, female sex, diabetes mellitus, and chronic renal failure. In subgroup analysis, patients aged >65 years and female patients in the TF-OP group were still at significantly higher risks of CTR than were their counterparts in the TF-NOP subgroups. The cumulative incidence of CTR after TF surgery linearly increased with time in both groups.ConclusionPatients undergoing TF release may have a higher incidence of CTR 1 year later, especially women and patients aged >65 years. Diabetes mellitus and chronic renal failure may be risk factors.

Incidence of Carpal Tunnel Syndrome after Distal Radius Fracture

Carpal tunnel syndrome (CTS) can present following distal radius fracture (DRF) and may progress to require carpal tunnel release (CTR). The primary aim of this study was to determine the incidence of CTS within 6 months of a DRF and the rate of CTR in this population. We used the PearlDiver national insurance database to determine the incidence of CTS after DRF. Patients were identified by International Classification of Diseases-10 codes, and treatment modalities for DRF and CTS were determined by respective Current Procedural Terminology codes. Patients with less than 6 months of follow-up, bilateral DRF, or preexisting CTS were excluded. Patient demographic characteristics were recorded. The time from DRF diagnosis to CTS diagnosis and CTR was determined. A multivariable analysis was performed to determine the differences between patients who underwent a CTR compared with those who were treated conservatively. We identified 23,733 patients (6,015 men; 17,718 women) who sustained a DRF. Of these patients, 79.1% were treated nonsurgically and 20.9% underwent surgical fixation. In total, 9.2% (N= 2,179) were diagnosed with CTS in their ipsilateral extremity within 6 months of sustaining the DRF. Of the patients whose DRF was treated nonsurgically, 6.3% (N= 1,198) developed CTS and 2.9% (N= 546) required CTR. Of those patients whose DRF was treated surgically, 19.8% (N= 981) developed CTS and 13.3% (N= 661) required CTR. Of those patients with symptoms severe enough to warrant CTR, 18.5% required a second surgical intervention for the CTR. Distal radius fractures severe enough to require surgical fixation are associated with a higher incidence of perioperative CTS. Accordingly, careful evaluation for and counseling on CTS during surgical fixation may decrease the chance of a second surgery. We have identified a cohort of patients with DRFs who may benefit from prophylactic CTR. Diagnostic IV.

The Relationship of Long Work When Using Laptop With Carpal Tunnel Syndrome (CTS) in College Students

&#x0D; Carpal tunnel syndrome is one musculoskeletal disorder that often occurs in work that uses the wrist repeatedly in a position that is not ergonomic for a long time. Use of laptops by students sometimes does not pay attention to ergonomics when typing by using a laptop properly and correctly, so it becomes one of the risk factors for CTS. This study aimed to determine the prevalence of a long-standing relationship between p CTS events, repetitive movements, and wrist posture with CTS incidence in students of the Class of 2017 IKM UNDANA Study Program. This research is a type of quantitative research cross-sectional study design. This study showed no relationship between long-standing with using the laptop, repetitive movements, and wrist posture with complaints of carpal tunnel syndrome in students of the class of 2017 IKM UNDANA study program. This research shows that there needs to be good time management when typing using a laptop, especially for students.&#x0D;

Case-Control Study on Individual Risk Factors of Carpal Tunnel Syndrome in Bangladeshi Population

Introduction: Carpal tunnel syndrome (CTS) is a symptomatic compression neuropathy of the median nerve at the level of the wrist, physiologically characterized by increased pressure within the carpal tunnel and a decreased function of the nerve at that level. With the prevalence estimated between 7% and 18% of the adult population, CTS is the most common entrapment neuropathy of the upper extremities. It is the most common neuro-compressive disease. Objective: To assess the individual risk factors of carpal tunnel syndrome In Bangladeshi Population. Materials and Methods: The present case-control study was conduct at the Dept. of Neurology, Uttara Adhunik Medical College Hospital (UAMCH), Uttara, Dhaka, Bangladesh from January 2019 to December 2021. 3019 patients included in our study and who were diagnosed in the 84% of patients were aged 41-70 years both case and control groups. Both groups filled out a standardized questionnaire, and a standardized patient record was filled out by Neurology Department. In addition, participants with jobs involving lifting and carrying of loads were interviewed. The incidence of CTS in middle aged women was significantly higher than that in men. Results: In our study 3019 patients who were diagnosed in the 84% of patients were aged 41-70 years. Among these patients, there were 756 CTS patients aged 41-70 years without any other diseases which could cause numbness as the case group. Then there were 2263 non-CTS outpatients involved as the control group. The average BMI in case group was 22.79±2.60 and 21.49±5.03 in control group with significant difference (P&lt;0.01). The results showed that sex, age, smoking, wrist injury, diabetes mellitus, hypothyroidism and wrist working are all risk factors of CTS. Hypertension could be a protection factor of CTS in early phase but will increase the risk in a long-term high blood pressure. Smoking, alcohol and diabetes mellitus can be predictors of moderate and severe CTS. ......................

Application of Nanofiber Material Based on Electrospinning Technology in Sports Rehabilitation of Basketball Player’s Wrist Joint

Wrist joint plays an indispensable role in our daily life. The injury of wrist joint has a great influence on the fine movement of the hand and upper limb. For example, you cannot do joint movements, you cannot carry things, and life is very inconvenient. It is necessary to distinguish the types of wrist disorders and take effective rehabilitation methods in time. Wrist joint has a great impact on people’s life and work, and the rehabilitation of wrist joint has become a research hotspot in rehabilitation medicine and medical engineering. Carpal tunnel syndrome is the most common peripheral nerve entrapment disease in clinical practice, with a very high incidence. According to data, the incidence of carpal tunnel syndrome in the general population abroad is 1%-5%, while that in special populations is as high as 14.5% above. In order to solve the problem of rehabilitation of wrist joint, using electrospinning technology, the polymer solution is prepared into nanofiber materials with strong adsorption and good filterability under the action of high-voltage electric field. And using some small-sized nanofibers that are similar to organs in shape and structure, as well as their excellent degradability and biocompatibility, this material is used in the research of wrist joint movement rehabilitation. In this paper, sports rehabilitation training is carried out on the wrist joint of basketball players, and the nanofiber material is effectively combined with sports rehabilitation training. By comparing the rehabilitation of athletes who did not use nanofiber materials, the role of nanofiber materials in sports rehabilitation was studied. This article analyzes the three parts of the radial joint, the wrist joint, and the ulnar joint before and after the sports rehabilitation training for basketball players with functional impairments and compares the sports rehabilitation of the basketball players without nanofiber materials. This article analyzes the three parts of the radial joint, the wrist joint, and the ulnar joint before and after the sports rehabilitation training for basketball players with functional impairments and compares the sports rehabilitation of the basketball players without nanofiber materials.