Descripción electrofisiológica del síndrome de túnel carpiano según edad en pacientes adultos

María Pilar Vicuña Pruzzo; Juan Francisco Idiáquez; Paula Jara; Francisca Pino; Marcela Cárcamo; Gabriel Cavada; Renato Verdugo

doi:10.4067/S0034-98872017001001252

Descripción electrofisiológica del síndrome de túnel carpiano según edad en pacientes adultos

Translated title of the contribution: Electrophysiological severity of carpal tunnel syndrome according to age in adult patients

María Pilar Vicuña Pruzzo^*, Juan Francisco Idiáquez, Paula Jara, Francisca Pino, Marcela Cárcamo, Gabriel Cavada, Renato Verdugo

^*Corresponding author for this work

Facultad de Medicina

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

Background: Carpal tunnel syndrome (CTS) represents 90% of entrapment neuropathies. Severity may be greater in older patients. Aim: To describe the electrophysiological findings in adult patients with CTS and determine if severity is related to age. Material and Methods: Descriptive and retrospective study of electrophysiological findings in patients over 18 years of age with clinical suspicion of CTS, studied between January 2011 and December 2015. Neurophysiological severity was classified in 3 grades, comparing them by age, gender and laterality. Results: Of 1156 patients subjected to electrophysiological studies due to a clinical suspicion of CTS, 690 (60%) had electrophysiological features of the disease. In 274 patients (24%) the compromise was mild, in 162 (14%) it was moderate and in 254 (22%) it was severe. There was a positive association between age and CTS severity (p < 0.01). Severity was significantly greater in males than females (p < 0.01). Bilateral CTS was present in 471 patients (68%), which was associated with increased age and severity (p < 0.01). Conclusions: Electrophysiological severity in CTS increases with age. Other factors associated with higher severity are male gender and bilateral disease.

Translated title of the contribution	Electrophysiological severity of carpal tunnel syndrome according to age in adult patients
Original language	Spanish
Pages (from-to)	1252-1258
Number of pages	7
Journal	Revista Medica de Chile
Volume	145
Issue number	10
DOIs	https://doi.org/10.4067/S0034-98872017001001252
State	Published - Oct 2017

Bibliographical note

Funding Information:
El haber utilizado una escala empírica para la clasificación del compromiso de STC agrupando los 6 estadios de Bland en 3 grandes grupos (leve, moderado y grave), permite acercarse más a la práctica clínica habitual y realizar comparaciones con estudios internacionales que han utilizado métodos similares6. Se debe recordar que esta escala permite reconocer el compromiso de la neuropatía del nervio mediano en la muñeca, por lo cual es necesario complementar siempre con la clínica del paciente35.

Funding Information:
Para la recolección y manejo de datos se obtuvo apoyo del Departamento de Informática de CAS y se utilizó la herramienta electrónica para captura de datos REDCap24.

Publisher Copyright:
© 2017, Sociedad Medica de Santiago. All rights reserved.

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10.4067/S0034-98872017001001252

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@article{6bdb4df031f44153a894aee588b5aa2d,

title = "Descripci{\'o}n electrofisiol{\'o}gica del s{\'i}ndrome de t{\'u}nel carpiano seg{\'u}n edad en pacientes adultos",

abstract = "Background: Carpal tunnel syndrome (CTS) represents 90% of entrapment neuropathies. Severity may be greater in older patients. Aim: To describe the electrophysiological findings in adult patients with CTS and determine if severity is related to age. Material and Methods: Descriptive and retrospective study of electrophysiological findings in patients over 18 years of age with clinical suspicion of CTS, studied between January 2011 and December 2015. Neurophysiological severity was classified in 3 grades, comparing them by age, gender and laterality. Results: Of 1156 patients subjected to electrophysiological studies due to a clinical suspicion of CTS, 690 (60%) had electrophysiological features of the disease. In 274 patients (24%) the compromise was mild, in 162 (14%) it was moderate and in 254 (22%) it was severe. There was a positive association between age and CTS severity (p < 0.01). Severity was significantly greater in males than females (p < 0.01). Bilateral CTS was present in 471 patients (68%), which was associated with increased age and severity (p < 0.01). Conclusions: Electrophysiological severity in CTS increases with age. Other factors associated with higher severity are male gender and bilateral disease.",

keywords = "Carpal tunnel syndrome, Electromyography, Median neuropathy",

author = "Pruzzo, {Mar{\'i}a Pilar Vicu{\~n}a} and Idi{\'a}quez, {Juan Francisco} and Paula Jara and Francisca Pino and Marcela C{\'a}rcamo and Gabriel Cavada and Renato Verdugo",

note = "Funding Information: El haber utilizado una escala emp{\'i}rica para la clasificaci{\'o}n del compromiso de STC agrupando los 6 estadios de Bland en 3 grandes grupos (leve, moderado y grave), permite acercarse m{\'a}s a la pr{\'a}ctica cl{\'i}nica habitual y realizar comparaciones con estudios internacionales que han utilizado m{\'e}todos similares6. Se debe recordar que esta escala permite reconocer el compromiso de la neuropat{\'i}a del nervio mediano en la mu{\~n}eca, por lo cual es necesario complementar siempre con la cl{\'i}nica del paciente35. Funding Information: Para la recolecci{\'o}n y manejo de datos se obtuvo apoyo del Departamento de Inform{\'a}tica de CAS y se utiliz{\'o} la herramienta electr{\'o}nica para captura de datos REDCap24. Publisher Copyright: {\textcopyright} 2017, Sociedad Medica de Santiago. All rights reserved.",

year = "2017",

month = oct,

doi = "10.4067/S0034-98872017001001252",

language = "Spanish",

volume = "145",

pages = "1252--1258",

journal = "Revista Medica de Chile",

issn = "0034-9887",

publisher = "Sociedad Medica de Santiago",

number = "10",

}

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T1 - Descripción electrofisiológica del síndrome de túnel carpiano según edad en pacientes adultos

AU - Pruzzo, María Pilar Vicuña

AU - Idiáquez, Juan Francisco

AU - Jara, Paula

AU - Pino, Francisca

AU - Cárcamo, Marcela

AU - Cavada, Gabriel

AU - Verdugo, Renato

N1 - Funding Information: El haber utilizado una escala empírica para la clasificación del compromiso de STC agrupando los 6 estadios de Bland en 3 grandes grupos (leve, moderado y grave), permite acercarse más a la práctica clínica habitual y realizar comparaciones con estudios internacionales que han utilizado métodos similares6. Se debe recordar que esta escala permite reconocer el compromiso de la neuropatía del nervio mediano en la muñeca, por lo cual es necesario complementar siempre con la clínica del paciente35. Funding Information: Para la recolección y manejo de datos se obtuvo apoyo del Departamento de Informática de CAS y se utilizó la herramienta electrónica para captura de datos REDCap24. Publisher Copyright: © 2017, Sociedad Medica de Santiago. All rights reserved.

PY - 2017/10

Y1 - 2017/10

N2 - Background: Carpal tunnel syndrome (CTS) represents 90% of entrapment neuropathies. Severity may be greater in older patients. Aim: To describe the electrophysiological findings in adult patients with CTS and determine if severity is related to age. Material and Methods: Descriptive and retrospective study of electrophysiological findings in patients over 18 years of age with clinical suspicion of CTS, studied between January 2011 and December 2015. Neurophysiological severity was classified in 3 grades, comparing them by age, gender and laterality. Results: Of 1156 patients subjected to electrophysiological studies due to a clinical suspicion of CTS, 690 (60%) had electrophysiological features of the disease. In 274 patients (24%) the compromise was mild, in 162 (14%) it was moderate and in 254 (22%) it was severe. There was a positive association between age and CTS severity (p < 0.01). Severity was significantly greater in males than females (p < 0.01). Bilateral CTS was present in 471 patients (68%), which was associated with increased age and severity (p < 0.01). Conclusions: Electrophysiological severity in CTS increases with age. Other factors associated with higher severity are male gender and bilateral disease.

AB - Background: Carpal tunnel syndrome (CTS) represents 90% of entrapment neuropathies. Severity may be greater in older patients. Aim: To describe the electrophysiological findings in adult patients with CTS and determine if severity is related to age. Material and Methods: Descriptive and retrospective study of electrophysiological findings in patients over 18 years of age with clinical suspicion of CTS, studied between January 2011 and December 2015. Neurophysiological severity was classified in 3 grades, comparing them by age, gender and laterality. Results: Of 1156 patients subjected to electrophysiological studies due to a clinical suspicion of CTS, 690 (60%) had electrophysiological features of the disease. In 274 patients (24%) the compromise was mild, in 162 (14%) it was moderate and in 254 (22%) it was severe. There was a positive association between age and CTS severity (p < 0.01). Severity was significantly greater in males than females (p < 0.01). Bilateral CTS was present in 471 patients (68%), which was associated with increased age and severity (p < 0.01). Conclusions: Electrophysiological severity in CTS increases with age. Other factors associated with higher severity are male gender and bilateral disease.

KW - Carpal tunnel syndrome

KW - Electromyography

KW - Median neuropathy

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U2 - 10.4067/S0034-98872017001001252

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AN - SCOPUS:85042233935

SN - 0034-9887

VL - 145

SP - 1252

EP - 1258

JO - Revista Medica de Chile

JF - Revista Medica de Chile

IS - 10

ER -

Descripción electrofisiológica del síndrome de túnel carpiano según edad en pacientes adultos

Abstract

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