Risk factors for operated carpal tunnel syndrome: a multicenter population-based case-control study

Mattioli, Stefano; Baldasseroni, Alberto; Bovenzi, Massimo; Curti, Stefania; Cooke, Robin M. T.; Campo, Giuseppe; Barbieri, Pietro G.; Ghersi, Rinaldo; Broccoli, Marco; Cancellieri, Maria Pia; Colao, Anna Maria; dell'Omo, Marco; Fateh-Moghadam, Pirous; Franceschini, Flavia; Fucksia, Serenella; Galli, Paolo; Gobba, Fabriziomaria; Lucchini, Roberto; Mandes, Anna; Marras, Teresa
January 2009
BMC Public Health;2009, Vol. 9 Issue 1, p343
Academic Journal
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-based case-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 of biomechanical 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.


Related Articles

  • Risk Factors for Neck and Upper Extremity Disorders among Computers Users and the Effect of Interventions: An Overview of Systematic Reviews. Andersen, Johan H.; Fallentin, Nils; Thomsen, Jane F.; Mikkelsen, Sigurd // PLoS ONE;2011, Vol. 6 Issue 5, p1 

    Background: To summarize systematic reviews that 1) assessed the evidence for causal relationships between computer work and the occurrence of carpal tunnel syndrome (CTS) or upper extremity musculoskeletal disorders (UEMSDs), or 2) reported on intervention studies among computer users/or office...

  • Ergo claims & costs keep climbing.  // Industrial Safety & Hygiene News;Mar2005, Vol. 39 Issue 3, p12 

    Reports on the risk of carpal tunnel syndrome, a repetitive muscular injuries, on the nation's leading workplace health cost by Occupational Safety and Health Administration in the U.S.

  • Poster 169 Trends in Ambulatory Carpal Tunnel Release Surgery in the U.S. 1996‐2006. Bodofsky, Elliot; Cohen, Stephen J.; Kumar, Rohini J.; Schindelheim, Adam // PM & R: Journal of Injury, Function & Rehabilitation;Oct2012 Supplement 10S, Vol. 4, pS248 

    No abstract available.

  • Massage THERAPY. Mostyn, Margot // Alive: Canada's Natural Health & Wellness Magazine;Feb2008, Issue 304, p74 

    The article focuses on the use of massage therapy in treating carpal tunnel syndrome (CTS). To treat CTS, qualified therapists use Swedish massage techniques to ease the tight, irritated muscles and tendons in the affected arm, wrist, and hand. It is noted that incorporating massage therapy into...

  • A Spoonful of Steroids Fights Carpal Tunnel. Berg, Michael; Brierly, Dean; Carlson, Mike; Donnelly, Allan; Kallen, Ben; Kindela, Jerry; Lee, Bobby; Nishi, Dennis; Thorpe, Mark; Weede, Tom // Men's Fitness;Jul2003, Vol. 19 Issue 7, p20 

    Discusses research being done on the effectivity of oral steroids as an alternative to surgery for patients with carpal tunnel syndrome (CTS). Reference to a study published in the "Journal of Neurology, Neurosurgery and Psychiatry"; Benefits of prednisolone to patients with CTS.

  • Computer Use and Carpal Tunnel Syndrome. Wellbery, Caroline // American Family Physician;2/1/2004, Vol. 69 Issue 3, p643 

    Discusses the study "Computer Use and Carpal Tunnel Syndrome," by J.H. Andersen et al., from the June 11, 2003 issue of the "Journal of the American Medical Association."

  • Intramuscular Lipoma in an Anomalous Muscle Belly of the Middle Finger Lumbrical as a Cause of Carpal Tunnel Syndrome and Trigger Wrist. Cossey, A. J.; Stranks, G. J. // Orthopedics;Jan2003, Vol. 26 Issue 1, p85 

    Presents a case report of carpal tunnel syndrome with associated wrist triggering caused by an intramuscular lipoma in anomalous muscle belly of the middle finger lumbrical. Information on the case of a 43-year-old man presented with triggering of the left wrist related to the use of the flexor...

  • The WISTAH hand study: A prospective cohort study of distal upper extremity musculoskeletal disorders. Garg, Arun; Hegmann, Kurt T.; Wertsch, Jacqueline J.; Kapellusch, Jay; Thiese, Matthew S.; Bloswick, Donald; Merryweather, Andrew; Sesek, Richard; Deckow-Schaefer, Gwen; Foster, James; Wood, Eric; Kendall, Richard; Xiaoming Sheng; Holubkov, Richard // BMC Musculoskeletal Disorders;2012, Vol. 13 Issue 1, p90 

    Background: Few prospective cohort studies of distal upper extremity musculoskeletal disorders have been performed. Past studies have provided somewhat conflicting evidence for occupational risk factors and have largely reported data without adjustments for many personal and psychosocial...

  • OH No, IT'S CARPAL TUNNEL SYNDROME! Or is it? Davies, Stephanie // Dental Assistant;Sep/Oct2007, Vol. 76 Issue 5, p40 

    The article discusses the symptoms of carpal tunnel syndrome and features several patients who dealt with the issue of repetitive stress injury. It has been explained that carpal tunnel syndrome occurs when the median nerve is compressed as it travels through the carpal tunnel, an actual...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics