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Carpal Tunnel Syndrome: A cross - Sectional Study in 928 Patients in Iraq
متلازمه النفق الرسغي : دراسه مقطعيه ل 928 حاله مرضيه في العراق

Author: Hikmet kadum Abbas حكمت كاظم عباس
Journal: Diyala Journal of Medicine مجلة ديالى الطبية ISSN: 97642219 Year: 2012 Volume: 3 Issue: 1 Pages: 19-26
Publisher: Diyala University جامعة ديالى

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Abstract

Background: Carpal tunnel syndrome is caused by entrapment of the median nerve and results in pain, tingling and numbness in the wrist and hand. It is a common condition in general practice. Objectives: This study was done to determine the epidemiological and clinical features of CTS. Methods A cross-sectional study was carried out on Carpal tunnel syndrome [CTS] cases diagnosed over a 14 years period, from May 1998 to May 2012 by the researcher. All data regarding the age at presentation, gender, pregnancy, hypertension, DM, salty food, response to conservative treatment, response to surgical treatment, a total number of 928 cases were included in this study. Results; Among the 928 CTS patients; there were (0.107%) below 15 years,( 25.64%) from 15-30 years, (50.75%) from 31-45 years, (20.68%) from 46-60 years, and (2.80%) above 60.According to gender distribution, there were (0.969%) male,( 99.03%) female. In this study there were (13.27%) pregnant,( 86.72%) not pregnant, (5.92%) hypertensive,( 94.07%) not hypertensive, (8.40 %) diabetic,( 91.59%) not diabetic, (44.40%) eating salty food, (55.60%) not eating salty food .According to response to treatment, (58.72%) respond to conservative treatment,( 41.27%) not respond to conservative treatment, (94.51%) good response to surgical treatment,( 5.48%) not respond to surgical treatment.Conclusions: This study showed1. The predominant age of patients [females] 31-45 years.2. The ratio of female /male is far higher than in other places of the world.3. The prevalence of pregnant women with CTS is less than other studies.4. There is some statistical significant association between CTS and consuming salty food.5. Surgical treatment is highly successful.Keywords: Carpal tunnel syndrome, Median nerve, Entrapment neuropathy.

الخلفيه: متلازمه النفق الرسغي مصطلح يطلق على حاله تصيب العصب الاوسط اثناء دخوله الرسغ مما يؤدي الى ظهور الم وتنمل وخدر في اليد وهي حاله شائعه.الاهداف: دراسه وبائيه المتلازمه عند المرضى في العراق.طريقه البحث: دراسه مقطعيه على حالات جمعت خلال 14 سنه بلغ عددها928حاله وتم دراسه المتغيرات التاليه: العمر و الجنس, الحمل, ارتفاع ضغط الدم, ملح الطعام, الاستجابه للعلاج التحفظي , الاستجابه للعلاج الجراحي.النتائج:من بين 928 حاله درست تبين ان 50,75% بعمر 31-45سنه بينما 20,68% من 46-60 سنه ونادر الحدوث في الاعمار اقل من 15 واكثر من 60, نسبه اصابه النساء الى الرجال 99الى 1.عدد المصابات اثناء الحمل 13,27% ,المصابات مع ارتفاع الضغط 6%,داء السكر 9% , 44,40 %يتناولون نسبه عاليه من ملح الطعام ,58,72 %استجابو للعلاج التحفظي ,94,5 %استجابو بصوره جيده للعلاج الجراحي.الاستنتاجات:1- نسبه الاصابه عند النساء اعلى بكثير من الرجال مقارنه بالبحوث الاخرى. 2-اعلى نسبة اصابة عند النساء في الثلاثينات حتى منتصف الاربعينات . 3 -.نسبة الاصابة عند الحوامل اقل مما موجود في البحوث الاخرى.4-هنالك علاقة احصائية مؤكدة عن زيادة الاصابات وتناول ملح الطعام بكثرة. 5- العلاج الجراحي له نسبة نجاح عالي .


Article
The Value of Wrist-Palm Median Motor Conduction Velocity in The Diagnosis of Carpal Tunnel Syndrome

Authors: Zahid Mohammed Ali Kadhim --- Ali Abass Al-Musawi --- Asr Faeq Al-Attar --- Ban Jaber Edan
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2016 Volume: 13 Issue: 2 Pages: 445 -451
Publisher: Babylon University جامعة بابل

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Abstract

Carpal tunnel syndrome is the commonest entrapment neuropathy. Typically patients presented with acroparasthesia and pain mainly at night. The study aims to find the value of wrist-palm median motor conduction velocity in the diagnosis of carpal tunnel syndrome. 171 patient suffer from classical symptoms and signs of carpal tunnel syndrome enrolled in the study and compared to 100 healthy control. All patients and controls undergo neurophysiological testing including wrist-palm median motor conduction velocity measurement. The study results show that most patients with carpal tunnel syndrome show abnormal wrist-palm median motor conduction velocity with sensitivity of 91% and specificity 80%.The study concluded thatmidpalm-wrist median motor conduction velocity is an easily performed electrophysiological technique. It don’t require additional equipment or expertise and give high sensitivity and specificity in the diagnosis of CTS.

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