Download PDF
CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(06): 755-758
DOI: 10.1055/s-0040-1709737
Artigo Original
Mão

Changing Concepts for the Diagnosis of Carpal Tunnel Syndrome in Powerlifting Athletes with Disabilities

Article in several languages: português | English
Lia Miyamoto Meirelles 
1   Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil
,
Carlos Henrique Fernandes 
1   Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil
,
Benno Ejnisman 
1   Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil
,
Moises Cohen 
1   Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil
,
João Baptista Gomes dos Santos 
1   Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil
,
Flavio Faloppa 
1   Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil
› Author Affiliations
› Further Information
   Permissions and Reprints

Abstract

Objective To examine the prevalence of carpal tunnel syndrome in powerlifting athletes with disabilities.

Methods The present study evaluated the presence and intensity of pain (numerical scale), nocturnal paresthesia (self-report), and nerve compression (Tinel and Phalen signs) in wheelchair- and non-wheelchair-bound powerlifting athletes with disabilities. The clinical diagnosis of carpal tunnel syndrome was confirmed by the presence of two or more signs/symptoms.

Results In total, 29 powerlifting athletes with disabilities were evaluated. None of the athletes reported the presence of pain or nocturnal paresthesia. The Tinel sign was present in 1 (3.45%) wheelchair-bound athlete. A positive Phalen test was present in 3 (10.35%) athletes (1 wheelchair-bound and 2 non-wheelchair-bound). Concurrent positive Tinel sign and Phalen sign tests were found in 2 (6.89%) athletes (1 wheelchair-bound and 1 non-wheelchair-bound).

Conclusion Carpal tunnel syndrome was clinically diagnosed in 2 (6.89%) out of 29 powerlifting athletes with disabilities.

Keywords

athletic injuries - nerve crush - hand - sports medicine


Publication History

Received: 10 February 2019

Accepted: 27 January 2020

Article published online:
15 October 2020

© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • Referências

  • 1 Rettig AC. Athletic injuries of the wrist and hand: part II: overuse injuries of the wrist and traumatic injuries to the hand. Am J Sports Med 2004; 32 (01) 262-273
    CrossrefPubMedGoogle Scholar
  • 2 Toth C. McNeilS, Freasby T. Peripheral nervous system injuries in sport and recreation. Sports Med 2005; 35 (08) 717-738
    CrossrefPubMedGoogle Scholar
  • 3 Siewe J, Rudat J, Röllinghoff M, Schlegel UJ, Eysel P, Michael JW. Injuries and overuse syndromes in powerlifting. Int J Sports Med 2011; 32 (09) 703-711
    Article in Thieme ConnectPubMedGoogle Scholar
  • 4 Silva AA, Marques RF, Pena LG. et al. Adapted sport: an approach on the factors that influence the practice of collective sport in a wheelchair. Rev Bras Educ Fís Esporte 2013; 27 (04) 679-687
    CrossrefGoogle Scholar
  • 5 Willick SE, Cushman DM, Blauwet CA. et al. The epidemiology of injuries in powerlifting at the London 2012 Paralympic Games: An analysis of 1411 athlete-days. Scand J Med Sci Sports 2016; 26 (10) 1233-1238
    CrossrefPubMedGoogle Scholar
  • 6 Dozono K, Hachisuka K, Hatada K, Ogata H. Peripheral neuropathies in the upper extremities of paraplegic wheelchair marathon racers. Paraplegia 1995; 33 (04) 208-211
    CrossrefPubMedGoogle Scholar
  • 7 Jackson DL, Hynninen BC, Caborn DN, McLean J. Electrodiagnostic study of carpal tunnel syndrome in wheelchair basketball players. Clin J Sport Med 1996; 6 (01) 27-31
    CrossrefPubMedGoogle Scholar
  • 8 Fagher K, Lexell J. Sports-related injuries in athletes with disabilities. Scand J Med Sci Sports 2014; 24 (05) e320-e331
    CrossrefPubMedGoogle Scholar
  • 9 Ferreira FA, Bussmann AJC, Greguol M. Incidence of injuries in wheelchair basketball athletes. Rev Ter Ocup Univ Sao Paulo 2013; 24 (02) 134-140
    Google Scholar
  • 10 Boninger ML, Robertson RN, Wolff M, Cooper RA. Upper limb nerve entrapments in elite wheelchair racers. Am J Phys Med Rehabil 1996; 75 (03) 170-176
    CrossrefPubMedGoogle Scholar
  • 11 Impink BG, Boninger ML, Walker H, Collinger JL, Niyonkuru C. Ultrasonographic median nerve changes after a wheelchair sporting event. Arch Phys Med Rehabil 2009; 90 (09) 1489-1494
    CrossrefPubMedGoogle Scholar
  • 12 Atroshi I, Gummesson C, Johnsson R, Ornstein E, Ranstam J, Rosén I. Prevalence of carpal tunnel syndrome in a general population. JAMA 1999; 282 (02) 153-158
    Google Scholar
  • 13 Duckworth AD, Jenkins PJ, Roddam P, Watts AC, Ring D, McEachan JE. Pain and carpal tunnel syndrome. J Hand Surg Am 2013; 38 (08) 1540-1546
    CrossrefPubMedGoogle Scholar
  • 14 Keith MW, Masear V, Chung K. et al. Diagnosis of carpal tunnel syndrome. J Am Acad Orthop Surg 2009; 17 (06) 389-396
    CrossrefPubMedGoogle Scholar
  • 15 Sawaya RA, Sakr C. When is the Phalen's test of diagnostic value: an electrophysiologic analysis?. J Clin Neurophysiol 2009; 26 (02) 132-133
    CrossrefPubMedGoogle Scholar
  • 16 Davidoff G, Werner R, Waring W. Compressive mononeuropathies of the upper extremity in chronic paraplegia. Paraplegia 1991; 29 (01) 17-24
    CrossrefPubMedGoogle Scholar
  • 17 Krivickas LS, Wilbourn AJ. Peripheral nerve injuries in athletes: a case series of over 200 injuries. Semin Neurol 2000; 20 (02) 225-232
    Article in Thieme ConnectPubMedGoogle Scholar
  • 18 Tun CG, Upton J. The paraplegic hand: electrodiagnostic studies and clinical findings. J Hand Surg Am 1988; 13 (05) 716-719
    CrossrefPubMedGoogle Scholar
  • 19 Chammas M, Boretto J, Burmann LM. et al. Síndrome do túnel do carpo - Parte I (anatomia, fisiologia, etiologia e diagnóstico). Rev Bras Ortop 2014; 49 (05) 429-436
    Google Scholar
  • 20 Katz JN, Stirrat CR, Larson MG, Fossel AH, Eaton HM, Liang MH. A self-administered hand symptom diagram for the diagnosis and epidemiologic study of carpal tunnel syndrome. J Rheumatol 1990; 17 (11) 1495-1498
    Google Scholar
  • 21 Fulcher SM, Kiefhaber TR, Stern PJ. Upper-extremity tendinitis and overuse syndromes in the athlete. Clin Sports Med 1998; 17 (03) 433-448
    CrossrefPubMedGoogle Scholar
  • 22 Finsen V. Commentary on Akbar et al. Prevalence of carpal tunnel syndrome and wrist osteoarthritis in long-term paraplegic patients compared with controls. J Hand Surg Eur Vol 2014; 39 (02) 139
    CrossrefPubMedGoogle Scholar