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Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies

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Published on: January 11, 2019

How valuable is screening for thyroid disease in patients with carpal tunnel syndrome?

Ernest Suresh¹, Ian M Morris

¹Rheumatic Diseases Unit, Western General Hospital, Edinburgh, Scotland. dr_esuresh@hotmail.com

Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases

|October 18, 2006

Abstract

Background:

It has been suggested that many patients with carpal tunnel syndrome have associated thyroid or other metabolic diseases.

Methods:

206 patients with clinical features suggestive of carpal tunnel syndrome (CTS), including those with known underlying cause of CTS, were screened for thyroid dysfunction. Nerve conduction studies were compatible with a diagnosis of CTS in 136 patients (CTS group).

Results:

We diagnosed only 2 new cases of hypothyroidism (1.5% of patients in the CTS group) and none with hyperthyroidism.

Conclusions:

Thus routine screening of patients with isolated CTS for thyroid function abnormality does not appear to be worthwhile.

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