دورية أكاديمية

Sonographic diagnosis of carpal tunnel syndrome: a study in 200 hospital workers.

التفاصيل البيبلوغرافية
العنوان: Sonographic diagnosis of carpal tunnel syndrome: a study in 200 hospital workers.
المؤلفون: Castro Ado A; Master, MD, Radiologist, Postgraduate student of Ultrasonography, Computed Tomography and Magnetic Resonance Imaging at Hospital Israelita Albert Einstein, São Paulo, Part Time Dedication, Fellow PhD degree, Instituto de Pesquisas Médicas, Faculdade Evangélica do Paraná - Hospital Universitário Evangélico de Curitiba, Curitiba, PR, Brazil., Skare TL; PhD, MD, Rheumatologist, Head of Rheumatology Service, Hospital Universitário Evangélico de Curitiba, Full Professor of Rheumatology, Faculdade Evangélica do Paraná, Curitiba, PR, Brazil., Nassif PA; PhD, MD, Digestive System Surgeon, Head of the Service of Bariatric and Metabolic Surgery, Hospital Universitário Evangélico de Curitiba, Associate Professor of Traumatology, Surgical Practice II and Scientific Methodology at Faculdade Evangélica do Paraná, Curitiba, PR, Brazil., Sakuma AK; MD, Scientific Research student of Instituto de Pesquisas Médicas da Faculdade Evangélica do Paraná - Hospital Universitário Evangélico de Curitiba, Curitiba, PR, Brasil., Barros WH; MD, Radiologist, Trainee in Locomotor System Radiology at Hospital Alemão Oswaldo Cruz, São Paulo, SP, Brazil.
المصدر: Radiologia brasileira [Radiol Bras] 2015 Sep-Oct; Vol. 48 (5), pp. 287-91.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Colegio Brasileiro De Radiologia Country of Publication: Brazil NLM ID: 1305000 Publication Model: Print Cited Medium: Print ISSN: 0100-3984 (Print) Linking ISSN: 01003984 NLM ISO Abbreviation: Radiol Bras Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Rio De Janeiro : Colegio Brasileiro De Radiologia
مستخلص: Objective: To describe the prevalence of carpal tunnel syndrome in a sample of 200 healthy hospital workers, establishing the respective epidemiological associations.
Materials and Methods: Two hundred individuals were submitted to wrist ultrasonography to measure the median nerve area. They were questioned and examined for epidemiological data, body mass index, carpal tunnel syndrome signs and symptoms, and submitted to the Boston carpal tunnel questionnaire (BCTQ) to evaluate the carpal tunnel syndrome severity. A median nerve area ≥ 9 mm(2) was considered to be diagnostic of carpal tunnel syndrome.
Results: Carpal tunnel syndrome was diagnosed by ultrasonography in 34% of the sample. It was observed the association of carpal tunnel syndrome with age (p < 0.0001), paresthesia (p < 0.0001), Tinel's test (p < 0.0001), Phalen's test (p < 0.0001), BCTQ score (p < 0.0001), and years of formal education (p < 0.0001). Years of formal education was the only variable identified as an independent risk factor for carpal tunnel syndrome (95% CI = 1.03 to 1.24).
Conclusion: The prevalence of carpal tunnel syndrome in a population of hospital workers was of 34%. The number of years of formal education was the only independent risk factor for carpal tunnel syndrome.
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فهرسة مساهمة: Keywords: Carpal tunnel syndrome; Hand pain; Hand paresthesia; Median nerve area; Ultrasonography
Local Abstract: [Publisher, Portuguese] Descrever a prevalência da síndrome do túnel do carpo em amostra de 200 trabalhadores hospitalares sem comorbidades conhecidas e suas associações epidemiológicas. [Publisher, Portuguese] Duzentos indivíduos foram submetidos a ultrassonografia de punhos para mensuração da área da secção transversa do nervo mediano. Eles foram questionados e examinados sobre dados epidemiológicos, índice de massa corporal, sinais e sintomas da síndrome do túnel do carpo e submetidos ao Boston carpal tunnel questionnaire (BCTQ) para avaliação da gravidade da síndrome do túnel do carpo. A área da secção transversa do nervo mediano ≥ 9 mm 2 foi considerada diagnóstica de síndrome do túnel do carpo. [Publisher, Portuguese] A síndrome do túnel do carpo foi diagnosticada por ultrassonografia em 34% da amostra estudada. Foi observada associação desta síndrome com idade ( p < 0,0001), parestesia ( p < 0,0001), teste de Tinel ( p < 0,0001), teste de Phalen ( p < 0,0001), escore do BCTQ ( p < 0,0001) e anos de educação formal ( p < 0,0001). Anos de educação formal foi a única variável identificada como fator de risco independente para síndrome do túnel do carpo (IC 95%: 1,03 a 1,24). [Publisher, Portuguese] A prevalência da síndrome do túnel do carpo na amostra de trabalhadores hospitalares estudada foi 34%. O número de anos de educação formal foi o único fator de risco independente para síndrome do túnel do carpo.
تواريخ الأحداث: Date Created: 20151107 Date Completed: 20151106 Latest Revision: 20220408
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC4633072
DOI: 10.1590/0100-3984.2014.0069
PMID: 26543279
قاعدة البيانات: MEDLINE
الوصف
تدمد:0100-3984
DOI:10.1590/0100-3984.2014.0069