10Jun 2019

IDIOPATHIC CARPAL TUNNEL SUNDROME ( I.C.T.S.) CLINICAL AND ELECTROPHYSIOLOGICAL EVALUATION IN IRAQI PATIENTS.

  • M.B.Ch.B, DR /DMR Specialist Doctor in Rheumatology and Rehabilitation Al- Yarmouk TeachingHospital, Iraq / Baghdad.
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Introduction: carpal tunnel syndrome ( C.T.S )is a world wide disease which affects 5-10 % of population with a variable distribution rate among persons depending on their sex , age , occupation and precipitating factors ( in secondary C.T.S ) .It usually affects adults , females more than males It has variable modes of presentation and variable ways of alleviating the symptoms . This study aimed at evaluation of I.C.T.S both clinically and electrophysiologicaly in Iraqi patients . Patients and Methods : 54 Iraqi patients with 77 hands affected by I.C.T.S ( Secondary C.T.S cases were excluded )were received in rheumatology consultation clinic /AL- Yarmouk Teaching Hospital /Baghdad along 4 months period , and were evaluated (thouroghly )regarding age , sex , occupation , clinical , and electro-phys. abnormalities . Results were compared with other studies from other populations . Results : most of our patients were middle age ? females doing heavy house ? wife activities with chief presenting complaint of hyperesthesia.Clinically less wasting but more weakness than in other studies Electro-phys, results were comparable to other studies regarding DML and SAP but with a lower incidence of spontaneous activity among our pts. Conclusion : I.C.T.S . / Iraqi pts.is widely comparable to other studies ( from different parts of the world ) a part from less wasting of thenar muscles and lower % of spontaneous activity in electro ? phys .study.


1. Burton ,C; Chesterton ,LS ; Daven port ,G (may 2014): "Diagnosing &managing C.T.S .in primary care" The British Journal of General practice 2. C.T.S. fact sheet: National institute of neurological disorders and stroke (jan. 28,2016) 3. Padual , : L; Coraci,D; Erra,C; : " C.T.S. : clinical features, diagnosis & management " Lancet neurology (review). 15 (12): 1273-84 4. Beringer U .Neurolklin univ. Bern : "carpal tunnle syndrome" Schueizmed usher 102/2 (52-85) 1972 5. Bickel .KD (Jan. 2010) :Carpal tunnel syndrome"The Journal of surgery 35(1):147-52 6. Katz, Jeffrey N. ; Simmons. Barry P. (2002) : Carpal tunnle syndrome" New England Journal of medicine 346(23)1807-12 7. Ibrahim I. Khan W.S ,Goddard N (2012) :"C.T.S. : a Review of the recent Literatures" The open orthopedics Journal 6: 69-76 8. Philip L. Heywood G.P, Leeds LS TAX:" .Through the carpal tunnel". BMJ. , vol 294 ,(14 manch 1987) 9. Bendles EM. GreenspurB/Dept. phys. Med. Rehab. Univ. Pennsylvania Philadelphia USA.:"The Bilaterality of C.T.S." Arch phys med. Red. Reh. 58/8 (362-364)(1977) 10. Haris Gellman M.D/ Los Angeles Richand H. Gelberman M.D/ San Diego California , Division of Orthopeadic and Rehab. University of California at San Diego Med. Center."C.T.S. an evaluation of provocative diagnostic tests"Journal of bone & joint surgery vol. 68-A (june 1986) 11. Golding D.M. Rose and K.Selvarajah /west essex. Rheumatology unit, Princess Alexandra hospital :"clinical practice , clinical tests for C.T.S. an evaluation " British jounal of Rheumatology 25 (388-390)1986 12. William and Kelley M.D. Edward D.Harris J.R.M.D. :" Carpal Tunnel syndrome" Text book of Rheumatology 1981 Kelley & Firestein text book 9th Ed. 2013 13. Robert M Szabo MD. , Richard H. Gelberman M.D. /San Diago California university hospital :" Sensibility testing in patients with C.T.S." The Journal of bone & Joint surgery vol 66-A (Jan 1984) 14. Fakher AL.Ani/ Dept. of Clinical physiology Saddam college of Med- Baghdad. :"Electromygraphic and N.C.V. studies in patients with C.T.S". Paper from the 5th National Medical congress of college of medicine university of Baghdad( 1989) 15. Graham, B. ( 1 December 2008 )":The value added by electrodiagnostic testing in the diagnosis of C.T.S." The journal of Bone &joint surgery 90(12) 2587-93 16. Stevens JC AAEE minimograph ":The electro diagnosis of C.T.S." American Association of electro diagnostic medicine muscle nerve 1997; 20: 1477-86 17. Padua L, Lo Monaco M, Valente EM.": A useful electrophysiological parameter for diagnosing of C.T.S. " Muscle L, Nerve( 1996) 19 : 48-53 18. American Association of electrodiagnostic medicine /American Academy of neurology American Academy of physical medicine and Rehab " Practice parameter for electrdiagnostic studies in C.T.S. : summary statement "Muscle Nerve. (2002) ; 25 :918-22 19. Keivin Basiri &Bashar Katirgi .: " Practical approach to electro diagnosis of the C.T.S. A review" Advanced Biomedical research . (2015) ; 4:50 20. Wolters Kluwer ? Medknow publications Robinson .L (2007 ) :"Electro diagnosis of C.T.S". Physical Medicin and Rehabilitation of North America 18(4):733-46 21. Werner ,Robert A (2006)"Evaluation of work ? related C.T.S." Journal of occupational rehab. 16(2):201-16 22. Luckhaupt SE , Dahlhamer JM.Ward BW ( june 2013 )" Prevalence and work relatedness of C.T.S . in the working population ." American journal of international medicine 56 (6): 615-24 23. Phalen G.S. :The C.T.S 17 year experience in diagnosis and treatment of 646 hands" Journal bone and joint surg. 48A (211-228 )(1966) 24. Richard H.Gelberman M.D .David Aronson M.D/ . Divisions of orthop surg.and rheumatology/ university of californium at SanDiego . "C.T.S results of prospective trial of steroid injection and splinting ." The Journal of bone and joint surg . 62-A no,70 (1181-84)( Oct.(1980) . 25. Deckers H. vanstenland H.: " E MG finding in C.T.S " Rheumatol .Med.Phy.23/6 ( 269-80 )(1970) 26. Kopell H.P. Goodgold J ./Clin orthosurg. New york univ.sch.of med.New York ":Clinical and EMG features of C.T.S " Arch.phys.Med 49/7 ( 371-75) (1968) 27. Titze A.Urfallkarankenh :"The C.T.S a conduction velocity frequently overlooked Grz-Chir praxis 18/3 ( 497-504)(1974) "

[wijdan H. AL- Shami. (2019); IDIOPATHIC CARPAL TUNNEL SUNDROME ( I.C.T.S.) CLINICAL AND ELECTROPHYSIOLOGICAL EVALUATION IN IRAQI PATIENTS. Int. J. of Adv. Res. 7 (Jun). 218-222] (ISSN 2320-5407). www.journalijar.com


Dr. wijdan H . AL- Shami
Specialist Doctor in Rheumatology and Rehabilitation Al- Yarmouk Teaching Hospital , Iraq / Baghdad

DOI:


Article DOI: 10.21474/IJAR01/9215      
DOI URL: https://dx.doi.org/10.21474/IJAR01/9215