Journal of Isfahan Medical School

Journal of Isfahan Medical School

The Prevalence Pate of the Risk Factors in Carpal Tunnel Syndrome in Patients with and Healthy People without the Disease

Document Type : Original Article (s)

Authors
Mohammad Dehghani 1
Elham Noormohamadi 2
Shaghayegh Dehghani 2
Shakiba Dehghani 2
1 Associate Professor, Department of Orthopedic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
Background: Carpal tunnel syndrome is a common neurological disease with various risk factors involved in its onset. The present study aimed to compare the prevalence of risk factors in two groups with and without the syndrome.Methods: In a case-control study, 100 patients with carpal tunnel syndrome and 100 healthy people were selected and the prevalence of risk factors in carpal tunnel syndrome were evaluated and compared between the two groups.Findings: Of the known risk factors, prevalence of working with keyboard, powerful working, repetitive movements, working with vibrating tools, inflammatory diseases, obesity, and diabetes was significantly higher in the patient group.Conclusion: Today, the risk factors in carpal tunnel syndrome are changing, and computer users and people who work with vibrating tools are at more risk. Therefore, it is necessary to raise awareness in the community about the new disease risk factors, in order to improve the standard of industrial equipment and home appliances such as kitchen utensils as well.
Keywords
Carpal tunnel syndrome
Risk Factors
Vibratory instruments
  1. Hamblen DL, Simpson H. Adams's outline of orthopaedics. 14th ed. Philadelphia, PA: Churchill Livingstone; 2009. p. 213-9.
  2. Helander M. A Guide to Human Factors and Ergonomics. Trans. Choobineh A. Shiraz, Iran: Techer Publications; 2005. p. 153-76.
  3. Matlabi M, Hanani M, Fakharian A. An epidemiologic occupational study on patient referred for carpal tunnel syndrom surgery to Kashani hospitals, 2000-2002. Proceedings of the 4th Congress of Occupational Health and Safety; 2004 Oct 4-6; Hamadan, Iran. [In Persian].
  4. Atroshi I, Gummesson C, Johnsson R, Ornstein E, Ranstam J, Rosen I. Prevalence of carpal tunnel syndrome in a general population. JAMA 1999; 282(2): 153-8.
  5. D'Arcy CA, McGee S. The rational clinical examination. Does this patient have carpal tunnel syndrome? JAMA 2000; 283(23): 3110-7.
  6. Maghsoudipour M, Moghimi S, Dehghaan F, Rahimpanah A. Association of occupational and non-occupational risk factors with the prevalence of work related carpal tunnel syndrome. J Occup Rehabil 2008; 18(2): 152-6.
  7. Bonfiglioli R, Mattioli S, Fiorentini C, Graziosi F, Curti S, Violante FS. Relationship between repetitive work and the prevalence of carpal tunnel syndrome in part-time and full-time female supermarket cashiers: a quasi-experimental study. Int Arch Occup Environ Health 2007; 80(3): 248-53.
  8. Aghilinejad M, Farshad AA, Mostafaei M. Occupational medicine and occupational diseases. vol 2. Tehran, Iran: Arjmand Publication; 2001. p. 138-40. [In Persian].
  9. Occupational Safety and Health Administration (OSHA). Rule 099.37 Occupational carpal tunnel syndromE [Online]. [cited 2009 Aug 24]; http://www.awcc.state.ar.us/rules/rule37.pdf
  10. Armstrong TJ, Castelli WA, Evans FG, Diaz-Perez R. Some histological changes in carpal tunnel contents and their biomechanical implications. J Occup Med 1984; 26(3): 197-201.
  11. Rosskam E, Baichoo P. Preventing workplace injuries and illnesses through ergonomics. World of Work 1997; (21): 5-8.
  12. Werner RA, Franzblau A, Gell N. Randomized controlled trial of nocturnal splinting for active workers with symptoms of carpal tunnel syndrome. Arch Phys Med Rehabil 2005; 86(1): 1-7.
  13. Benton ML. Ergonomics: Adapting the job to fit the person. Job Safety and Health Quarterly 1989; 1(1): 4-8.
  14. Rossignol M, Stock S, Patry L, Armstrong B. Carpal tunnel syndrome: what is attributable to work? The Montreal study. Occup Environ Med 1997; 54(7): 519-23.
  15. Hutson MA. Work-Related Upper Limb Disorders: Recognition and Management. 1st ed. London, UK: Hodder Arnold; 1999. p. 77-9.
  16. Nordstrom DL, Vierkant RA, DeStefano F, Layde PM. Risk factors for carpal tunnel syndrome in a general population. Occup Environ Med 1997; 54(10): 734-40.
  17. Stone WE. Occupational repetitive strain injuries. Aust Fam Physician 1984; 13(9): 681-4.
  18. Burt S, Crombie K, Jin Y, Wurzelbacher S, Ramsey J, Deddens J. Workplace and individual risk factors for carpal tunnel syndrome. Occup Environ Med 2011; 68(12): 928-33.
  19. Hou WH, Hsu JH, Lin CH, Liang HW. Carpal tunnel syndrome in male visual display terminal (VDT) workers. Am J Ind Med 2007; 50(1): 1-7.
  20. Hamann C, Werner RA, Franzblau A, Rodgers PA, Siew C, Gruninger S. Prevalence of carpal tunnel syndrome and median mononeuropathy among dentists. J Am Dent Assoc 2001; 132(2): 163-70.
  21. Harris-Adamson C, Eisen EA, Dale AM, Evanoff B, Hegmann KT, Thiese MS, et al. Personal and workplace psychosocial risk factors for carpal tunnel syndrome: a pooled study cohort. Occup Environ Med 2013; 70(8): 529-37.
  22. Phalen GS. Reflections on 21 years' experience with the carpal-tunnel syndrome. JAMA 1970; 212(8): 1365-7.
  23. Choubineh AR, Rahimi K, Hosseini SM, Tavakolimanesh S., Tabatabaei SHR. Epidemiological study of carpal tunnel syndrome among paitents refering to Shiraz Chamran and Nemazi hospitals from 2002 to 2006. Iran Occup Health 2009; 6(3): 17-22. [In Persian].
  24. Aroori S, Spence RA. Carpal tunnel syndrome. Ulster Med J 2008; 77(1): 6-17.
  25. American Academy of Orthopaedic Surgeons. Clinical practice guideline on the diagnosis of carpal tunnel syndrome [Online]. [cited 2007 May]; Available from: URL:
  26. http://www.aaos.org/Research/guidelines/CTS_guideline.pdf
  27. Armstrong T, Dale AM, Franzblau A, Evanoff BA. Risk factors for carpal tunnel syndrome and median neuropathy in a working population. J Occup Environ Med 2008; 50(12): 1355-64.
  28. Spahn G, Wollny J, Hartmann B, Schiele R, Hofmann GO. Metaanalysis for the evaluation of risk factors for carpal tunnel syndrome (CTS) Part II. Occupational risk factors. Z Orthop Unfall 2012; 150(5): 516-24. [In German].
  29. Burt S, Deddens JA, Crombie K, Jin Y, Wurzelbacher S, Ramsey J. A prospective study of carpal tunnel syndrome: workplace and individual risk factors. Occup Environ Med 2013; 70(8): 568-74.
Journal of Isfahan Medical School
Volume 34, Issue 403 - Serial Number 403
September and October 2016
Pages 1237-1243

  • Receive Date 15 August 2016
  • Accept Date 06 April 2022