Carpal tunnel syndrome: a series observed at Jordan University Hospital (JUH), June 1999-December 2000.
One hundred and eighty five consecutive patients with carpal tunnel syndrome (CTS) seen at Jordan University Hospital (JUH) over an 18-month-period were studied retrospectively. Mean age=45 years (range 19-80); 156 females, 29 males. The most common predisposing factors were stressful manual work, followed by diabetes mellitus and obesity (body mass index, BMI>29). The most frequent symptoms were nocturnal hand paresthesiae. The respective sensitivities of Tinel and Phalen signs were 61 and 46%. The diagnostic yield of nerve conduction studies (NCS) was 80% and the most sensitive NCS technique was the median palm-to-wrist (PW) technique with a yield of 61%. Seventy percent of the hands with electrophysiological CTS were moderate and severe. One hundred and forty patients received conservative treatment and 45 underwent surgical decompression.
Bahou
Yacoub G
YG
Neurology Section, Internal Medicine Department, Jordan University Hospital, PO Box 13046, Amman, Jordan. jacobbahou@hotmail.com
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002349:Carpal Tunnel Syndrome / Q000175:diagnosis / Q000209:etiology / Q000473:pathology / Q000628:therapy; D019299:Decompression, Surgical; D048909:Diabetes Complications; D003937:Diagnosis, Differential; D004594:Electrophysiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009431:Neural Conduction / Q000502:physiology*; D009765:Obesity / Q000150:complications; D016272:Occupational Health; D012189:Retrospective Studies; D012307:Risk Factors; D012680:Sensitivity and Specificity