| Autor: |
Mattioli, Stefano, Baldasseroni, Alberto, Bovenzi, Massimo, Curti, Stefania, Cooke, Robin M. T., Campo, Giuseppe, Barbieri, Pietro G., Ghersi, Rinaldo, Broccoli, Marco, Cancellieri, Maria Pia, Colao, Anna Maria, dell'Omo, Marco, Fateh-Moghadam, Pirous, Franceschini, Flavia, Fucksia, Serenella, Galli, Paolo, Gobba, Fabriziomaria, Lucchini, Roberto, Mandes, Anna, Marras, Teresa |
| Předmět: |
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| Zdroj: |
BMC Public Health; 2009, Vol. 9 Issue 1, p343-357, 15p, 1 Diagram, 7 Charts, 1 Graph |
| Abstrakt: |
Background: Carpal tunnel syndrome (CTS) is a socially and economically relevant disease caused by compression or entrapment of the median nerve within the carpal tunnel. This population-based case-control study aims to investigate occupational/non-occupational risk factors for surgically treated CTS. Methods: Cases (n = 220) aged 18-65 years were randomly drawn from 13 administrative databases of citizens who were surgically treated with carpal tunnel release during 2001. Controls (n = 356) were randomly sampled from National Health Service registry records and were frequency matched by age-gender-specific CTS hospitalization rates. Results: At multivariate analysis, risk factors were blue-collar/housewife status, BMI ≥ 30 kg/m², sibling history of CTS and coexistence of trigger finger. Being relatively tall (cut-offs based on tertiles: women ≥165 cm; men ≥175 cm) was associated with lower risk. Blue-collar work was a moderate/strong risk factor in both sexes. Raised risks were apparent for combinations of biomechanical risk factors that included frequent repetitivity and sustained force. Conclusion: This study strongly underlines the relevance of biomechanical exposures in both nonindustrial and industrial work as risk factors for surgically treated CTS. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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