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  1. Fulltext. Concurrent medical disease in work-related carpal tunnel syndrome.

    Article - En anglais

    Fulltext.

    Background 

    Work-related carpal tunnel syndrome (CTS) now accounts for more than 41% of all repetitive motion disorders in the United States.

    Carpal tunnel syndrome is also associated with obesity and many different medical diseases.

    Patients and Methods 

    Two hundred ninety-seven patients medically certified with a work-related upper extremity industrial illness underwent a systematic search for concurrent medical diseases.

    Diagnoses of CTS were made using 4 separate case definitions.

    Results 

    One hundred nine separate atraumatic illnesses (mainly hypothyroidism, diabetes mellitus, and various arthropathies) capable of causing arm pain or CTS were diagnosed in a third of all patients.

    Using record reviews and patient histories alone, 68% of these conditions would have been missed.

    One hundred ninety-eight patients had been diagnosed as having CTS 420 times in more than 1000 office visits, but diagnostic laboratory studies were ordered only 25 times.

    Every case definition of CTS was significantly associated with a related medical condition.

    Two definitions yielded more than 41% prevalence of concurrent disease (odds ratio, =2.36 ; P¾. 004), and up to two thirds of these patients had either a medical disease or were obese (odds ratio, =3.15 ; P¾. 001).

    Two cohorts totaling 114 patients (38%) working for companies employing nearly 19 000 people included all CTS claims filed during 2 evaluation periods. (...)

    Mots-clés Pascal : Canal carpien syndrome, Obésité, Diabète, Hypothyroïdie, Goutte(pathologie), Association, Homme, Compression, Etat nutritionnel, Urique acide, Système nerveux pathologie, Nerf périphérique pathologie, Système ostéoarticulaire pathologie, Médecine travail, Trouble nutrition, Endocrinopathie, Thyroïde pathologie, Métabolisme pathologie, Hyperuricémie

    Mots-clés Pascal anglais : Carpal tunnel syndrome, Obesity, Diabetes mellitus, Hypothyroidism, Gout, Association, Human, Compression, Nutritional status, Uric acid, Nervous system diseases, Peripheral nerve disease, Diseases of the osteoarticular system, Occupational medicine, Nutrition disorder, Endocrinopathy, Thyroid diseases, Metabolic diseases, Hyperuricemia

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0440221

    Code Inist : 002B17A08. Création : 25/01/1999.