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Updated: May 7, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
Is carpal tunnel syndrome a slow, chronic, progressive nerve entrapment?
Jefferson Becker1, Renata Siciliani Scalco2, Franciane Pietroski3
1Department of Neurology, Universidade Luterana do Brasil ULBRA, Canoas, Rio Grande do Sul, Brazil; Neurology Service, Pontifícia Universidade Católica do Rio Grande do Sul PUCRS, Porto Alegre, Rio Grande do Sul, Brazil.
Objective:
The aim of this study is to investigate the presenting profile of patients with carpal tunnel syndrome (CTS) at various ages.
Methods:
We performed a cross-sectional study of CTS, analysing the correlation between severity and age.
Results:
We examined 3108 subjects with CTS, whose frequency increased from 20.9% for the age group 20-29 years to 61.7% for the age group 50-59 years. It remained at almost 50% in people aged over 80 years (49.2%). More than 50% of people younger than 30 years had mild CTS. Severe CTS progressively increased, reaching more than 50% of the CTS diagnoses in people over 80 years. Of the total number of cases, 80.8% of subjects had bilateral CTS. Mild NCS-EMG abnormalities were seen in 74.1% of patients with unilateral involvement, whereas moderate and severe CTS appeared in 70.3% of patients with bilateral involvement.
Conclusion:
There was a clear trend of deterioration with advancing years when comparing severity to age.
Significance:
CTS seems to be a chronic condition whose signs and symptoms may vary and progress, becoming worse over time.
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