title: Prevalence of carpal tunnel syndrome and wrist osteoarthritis in long-term paraplegic patients compared with controls.
abstract: We compared functional and structural changes in the hands, in particular the prevalence of carpal tunnel syndrome, in 56 paraplegic patients who had been wheelchair dependent for over 25 years with a group of able-bodied volunteers (with matching criteria for gender and age). The hands were assessed by clinical examination, electrophysiology, disabilities of the arm shoulder and hand score and magnetic resonance imaging. Hand function was worse and wrist pain was experienced more often in the paraplegic patients, and they also had a significantly higher prevalence of carpal tunnel syndrome both clinically and electrophysiologically. The prevalence of wrist and trapeziometacarpal osteoarthritis was significantly higher in the right hand.
authors: 1Department of Orthopaedic Surgery, University of Heidelberg, Germany.
authors: M
authors: M
authors: Akbar
authors: S
authors: S
authors: Penzkofer
authors: M A
authors: MA
authors: Weber
authors: T
authors: T
authors: Bruckner
authors: M
authors: M
authors: Winterstein
authors: M
authors: M
authors: Jung
mesh_terms: D000328:Adult; D000368:Aged; D002349:Carpal Tunnel Syndrome / Q000453:epidemiology* / Q000503:physiopathology*; D016022:Case-Control Studies; D004185:Disability Evaluation; D004594:Electrophysiology; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000453:epidemiology* / Q000503:physiopathology*; D010147:Pain Measurement; D010264:Paraplegia / Q000503:physiopathology*; D015995:Prevalence; D012189:Retrospective Studies; D014910:Wheelchairs; D014955:Wrist Joint / Q000503:physiopathology*
keywords: Carpal tunnel syndrome; hand; paraplegia; spinal cord injury; wheelchair user; wrist osteoarthritis