Fouroghipour M, Hasssan Abadi H, Amiri H, Sassan Nezhad Z. The survey of clinical presentation relationship with Electrodiagnostic findings in patients with carpaltunnel syndrome. Intern Med Today 2004; 10 (1) :5-9
URL:
http://imtj.gmu.ac.ir/article-1-252-en.html
Abstract: (13911 Views)
Background and Aim: Carpal Tunnel Syndrome (CTS) is the most common compressive neuropathy and is a common cause of dysfunction of many patients. Electrodiagnosis (ED) is a reliable test for assessment of median nerve. This research was done to survey clinical presentation with electrodiagnostic findings in patients with carpal tunnel syndrome.
Materials and Methods: This was a cross–sectional study 70 patients with carpal tunnel syndrome who came to neurology clinic of Ghaem hospital and Electrodiagnostic clinic of lmam Reza hospital in Mashad were studied. In this research age, sex, clinical complains and positive physical signs and sense disorders were surveyed. The data were analyzed by statistical tests and chi-square.
Results: 63 of the patients were male and 7 of them were females. The Mean age of them was 48.2±12.3.73% of female cases were housekeeper. 10% of cases had a positive family history for CTS and 15.8% had a predisposing factor. Diabetes melitus was the most common predisposing factor. Pain and paresthesia were the most common chief complaint. 51.5% of them had bilateral involvement, 37% right side and 11.5% left side involvement. Tinel and Phalen tests were positive in 97.1% and 92.9% of cases respectively. 7 patients had weakness and atrophy of thenar eminence. According to ED tests 21.4% had mild, 32.9% had moderate and 45.7% had severe degree of CTS.
Conclusion: we concluded that ED tests can be used for early diagnosis of C.T.S even before there are any clinical presentations. We recommended in any suspected case ED tests should be used for preventing of disabling complications.
Type of Study:
Original |
Subject:
Internal Medicine Received: 2008/07/24 | Published: 2004/04/15