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[Carpal tunnel syndrome].

S I Bekkelund1, C Pierre-Jerome

  • 1Nevrologisk avdeling Regionsykehuset i Tromsø 9038 Tromsø. nevrsib@rito.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|November 15, 2001
PubMed
Summary

Carpal tunnel syndrome affects 3% of the population, particularly women and manual workers. Distal narrowing of the carpal canal may predict this common nerve compression disorder.

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Area of Science:

  • Neurology
  • Orthopedics
  • Occupational Health

Context:

  • Carpal tunnel syndrome (CTS) is the most prevalent mononeuropathy.
  • Symptoms include hand pain, paresthesia, weakness, and altered skin temperature within the median nerve distribution.
  • Diagnosis is supported by characteristic symptoms and neurophysiological findings.

Purpose:

  • To review current knowledge on carpal tunnel syndrome.
  • To explore prevalence, incidence, and potential predictive factors.
  • To discuss the relationship between structural changes and symptom development.

Summary:

  • The prevalence of CTS is approximately 3%, with higher reported incidence in women and manual laborers.
  • While carpal canal size is not predictive, distal third narrowing has been observed in both patients and controls.
  • Occupational exposure differences may contribute to the higher incidence in women.

Impact:

  • Understanding CTS prevalence and risk factors aids in early diagnosis and management.
  • Identifying predictive structural changes like distal canal narrowing can improve clinical assessment.
  • This review synthesizes current evidence to inform clinical practice and future research on CTS.

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