Assessment of the presence of carpal tunnel syndrome in patients with diabetes mellitus, hypothyroidism and acromegaly
Yükleniyor...
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Journal of Clinical and Diagnostic Research
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
ABSTRACT
Introduction: Carpal tunnel syndrome (CTS) is one of the most
common entrapment neuropathies of the upper limbs. It results
from compromised median nerve function of the wrist that is
caused by increased pressure in the carpal tunnel. Repetitive
use of the hand and wrist, obesity, pregnancy, rheumatoid
diseases, trauma and endocrinopathies are some of the risk
factors for CTS.
Aim: The purpose of this study was to find out whether patients
with diabetes mellitus (DM), hypothyroidism and acromegaly
have an increased incidence of carpal tunnel syndrome
compared to each other and normal population.
Materials and Methods: Patients were assigned into three
groups as follows: patients with type II DM n: 100, patients
with hypothyroidism n:48 and patients with acromegaly n:36.
In addition, 50 healthy individuals were included in the study
as control subjects. Patients were asked if they had any pain,
symptoms of paraesthesia and numbness. Patients with
peripheral neuropathy were excluded from the study. Boston
Symptom Severity Scale and Functional Capacity Scale were
used to assess symptom severity and functional capacity. CTS
was investigated by performing electrophysiological study for
both hands.
Results: The incidence of CTS was significantly higher in all
three groups compared to the control group (p>0.05). In addition,
the incidence of CTS was significantly higher in the DM group
compared to the hypothyroid and acromegaly groups (p<0.001).
The incidence of bilateral CTS in the DM group was significantly
higher compared to both hypothyroid and acromegaly groups
and the control group (p<0.001).
Conclusion: CTS has a higher incidence in DM, hypothyroid
and acromegaly patients compared to healthy individuals.
Clinicians should be careful about development of CTS in
DM, hypothyroidism and acromegaly. They should adopt a
multidisciplinary approach and co-operate with the psychiatrist.
Açıklama
Anahtar Kelimeler
Endocrinopathies, Electropysiologic study, Median nerve
Kaynak
Journal of Clinical and Diagnostic Research
WoS Q Değeri
N/A
Scopus Q Değeri
N/A
Cilt
9
Sayı
6
Künye
Oktayoğlu, P., Nas, K., Kılınç, F., Taşdemir, N., Bozkurt, M. ve Yıldız, İ. (2015). Assessment of the presence of carpal tunnel syndrome in patients with diabetes mellitus, hypothyroidism and acromegaly. Journal of Clinical and Diagnostic Research, 9(6), 14-18.
