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Updated: Aug 4, 2026
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Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies
Published on: January 11, 2019
[Carpal tunnel syndrome I. Clinico-epidemiologic study]
M Martínez-Albaladejo1, M Nombela-Gómez, D Pérez-Flores
1Servicio de Medicina Interna, Hospital del Noroeste, Caravaca, Murcia.
Anales De Medicina Interna (Madrid, Spain : 1984)
|November 1, 1993
Summary
This study on carpal tunnel syndrome (CTS) found that repetitive wrist activities are a common cause, particularly in women. Electroneurological tests are crucial for accurate CTS diagnosis, as symptoms can be unreliable.
Area of Science:
- Neurology
- Epidemiology
- Occupational Health
Context:
- Carpal tunnel syndrome (CTS) is a common condition affecting the median nerve at the wrist.
- Understanding its epidemiologic, etiopathogenic, and clinical aspects is vital for effective management.
- This study analyzes a cohort of 190 patients diagnosed with CTS via electroneurological procedures.
Purpose:
- To evaluate the epidemiologic, etiopathogenic, and clinical characteristics of carpal tunnel syndrome.
- To identify risk factors and common clinical manifestations associated with CTS.
- To assess the diagnostic reliability of clinical signs versus electroneurological tests.
Summary:
- The study included 288 pathological hands from 190 patients, with a female predominance (66.8%).
- Key findings include a higher incidence in middle age, longer symptom duration in women, and a significant association with repetitive wrist activities and domestic tasks.
- While pain and paresthesias were common, 18% of patients were asymptomatic despite electrodiagnostic evidence of CTS, highlighting the importance of objective testing.
Impact:
- Reinforces the role of electroneurological tests as the most reliable diagnostic tool for CTS.
- Provides insights into gender-specific differences and occupational/domestic risk factors.
- Contributes to a better understanding of CTS epidemiology and clinical presentation for improved patient care and prevention strategies.
