Is carpal tunnel syndrome a slow, chronic, progressive nerve entrapment?

Autor: Becker J; Department of Neurology, Universidade Luterana do Brasil ULBRA, Canoas, Rio Grande do Sul, Brazil; Neurology Service, Pontifícia Universidade Católica do Rio Grande do Sul PUCRS, Porto Alegre, Rio Grande do Sul, Brazil. Electronic address: jeffersonbecker@hotmail.com., Scalco RS; Neurology Service, Pontifícia Universidade Católica do Rio Grande do Sul PUCRS, Porto Alegre, Rio Grande do Sul, Brazil., Pietroski F; Department of Neurology, Universidade Luterana do Brasil ULBRA, Canoas, Rio Grande do Sul, Brazil., Celli LF; Department of Neurology, Universidade Luterana do Brasil ULBRA, Canoas, Rio Grande do Sul, Brazil., Gomes I; Department of Neurology, Universidade Luterana do Brasil ULBRA, Canoas, Rio Grande do Sul, Brazil; Neurology Service, Pontifícia Universidade Católica do Rio Grande do Sul PUCRS, Porto Alegre, Rio Grande do Sul, Brazil.
Jazyk: angličtina
Zdroj: Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology [Clin Neurophysiol] 2014 Mar; Vol. 125 (3), pp. 642-6. Date of Electronic Publication: 2013 Oct 08.
DOI: 10.1016/j.clinph.2013.08.016
Abstrakt: Objective: The aim of this study is to investigate the presenting profile of patients with carpal tunnel syndrome (CTS) at various ages.
Methods: We performed a cross-sectional study of CTS, analysing the correlation between severity and age.
Results: We examined 3108 subjects with CTS, whose frequency increased from 20.9% for the age group 20-29 years to 61.7% for the age group 50-59 years. It remained at almost 50% in people aged over 80 years (49.2%). More than 50% of people younger than 30 years had mild CTS. Severe CTS progressively increased, reaching more than 50% of the CTS diagnoses in people over 80 years. Of the total number of cases, 80.8% of subjects had bilateral CTS. Mild NCS-EMG abnormalities were seen in 74.1% of patients with unilateral involvement, whereas moderate and severe CTS appeared in 70.3% of patients with bilateral involvement.
Conclusion: There was a clear trend of deterioration with advancing years when comparing severity to age.
Significance: CTS seems to be a chronic condition whose signs and symptoms may vary and progress, becoming worse over time.
(Copyright © 2013 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: