Background: Carpal tunnel syndrome (CTS) is a socially and economically relevant disease caused by compression or entrapment of the median nerve within the carpal tunnel. This population-basedcase-control study aims to investigate occupational/non occupational risk factors for surgically treated CTS.Methods: Cases (n = 220) aged 18-65 years were randomly drawn from 13 administrative databases of citizens who were surgically treated with carpal tunnel release during 2001. Controls (n = 356) were randomly sampled from National Health Service registry records and were frequency matched by age-gender-specific CTS hospitalization rates.Results: At multivariate analysis, risk factors were blue-collar/housewife status, BMI ≥ 30 kg/m2, sibling history of CTS and coexistence of trigger finger. Being relatively tall (cut-offs based on tertiles: women ≥165 cm; men ≥175 cm) was associated with lower risk. Blue-collar work was a moderate/strong risk factor in both sexes. Raised risks were apparent for combinations ofbiomechanical risk factors that included frequent repetitivity and sustained force.Conclusion: This study strongly underlines the relevance of biomechanical exposures in both nonindustrial and industrial work as risk factors for surgically treated CTS.
Risk factors for operated carpal turnel syndrome: multicenter population-based case control study / Mattioli, S; Baldasseroni, A; Bovenzi, M; Curti, S; Cooke, Rm; Campo, G; Barbieri, Pg; Ghersi, R; Broccoli, M; Cancellieri, Mp; Colao, Am; Dell'Omo, M; Fateh Moghadam, P; Franceschini, F; Fucksia, S; Galli, P; Gobba, Fabriziomaria; Lucchini, R; Mandes, A; Marras, T; Sgarrella, C; Borghesi, S; Fierro, M; Zanardi, F; Mancini, G; Violante, Fs. - In: BMC PUBLIC HEALTH. - ISSN 1471-2458. - STAMPA. - 9:(2009), pp. 343-343. [10.1186/1471-2458-9-343]
Risk factors for operated carpal turnel syndrome: multicenter population-based case control study.
GOBBA, Fabriziomaria;Lucchini R;
2009
Abstract
Background: Carpal tunnel syndrome (CTS) is a socially and economically relevant disease caused by compression or entrapment of the median nerve within the carpal tunnel. This population-basedcase-control study aims to investigate occupational/non occupational risk factors for surgically treated CTS.Methods: Cases (n = 220) aged 18-65 years were randomly drawn from 13 administrative databases of citizens who were surgically treated with carpal tunnel release during 2001. Controls (n = 356) were randomly sampled from National Health Service registry records and were frequency matched by age-gender-specific CTS hospitalization rates.Results: At multivariate analysis, risk factors were blue-collar/housewife status, BMI ≥ 30 kg/m2, sibling history of CTS and coexistence of trigger finger. Being relatively tall (cut-offs based on tertiles: women ≥165 cm; men ≥175 cm) was associated with lower risk. Blue-collar work was a moderate/strong risk factor in both sexes. Raised risks were apparent for combinations ofbiomechanical risk factors that included frequent repetitivity and sustained force.Conclusion: This study strongly underlines the relevance of biomechanical exposures in both nonindustrial and industrial work as risk factors for surgically treated CTS.
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