CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(03): 356-359
DOI: 10.1055/s-0040-1721841
Artigos Originais
Mão

Electrodiagnostic Testing Characteristics of Diabetic People with Carpal Tunnel Syndrome[*]

Article in several languages: português | English
1   Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil
,
Alex Timóteo Rodrigues Reis
2   Serviço de Ortopedia e Traumatologia, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil
,
Gabriel Antonio Matos
2   Serviço de Ortopedia e Traumatologia, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil
,
3   Cirurgia da Mão, Serviço de Ortopedia e Traumatologia, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil
,
4   Serviço de Ortopedia e Traumatologia, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil
,
5   Cirurgia do Pé, Serviço de Ortopedia e Traumatologia, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil
› Author Affiliations

Abstract

Objective The present study aimed to correlate electroneuromyography (ENMG) findings in diabetic and nondiabetic subjects with carpal tunnel syndrome (CTS).

Methods In total, 154 patients were evaluated in a hand surgery outpatient clinic. All ENMG tests were bilaterally performed by a single neurologist. Qualitative variables were described for all patients with CTS according to their diabetic status, and the chi-squared test was used to reveal any association. A joint model was adjusted to determine the influence of diabetes on ENMG severity in CTS patients.

Results The sample consisted of 117 women and 37 men, with an average age of 56.9 years old. Electroneuromyography demonstrated bilateral CTS in 82.5% of the patients. Diabetes was identified in 21.4% of the cases. Severe ENMG was prevalent.

Conclusion There was no association between diabetes and ENMG severity in patients with CTS. Level of evidence IV, case series.

* Study developed at the Orthopedics and Traumatology Department, Hand Surgery, Universidade Federal do Triângulo Mineiro, Uberaba, MG,, Brazil.




Publication History

Received: 06 May 2020

Accepted: 16 September 2020

Article published online:
10 February 2021

© 2021. 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 commecial 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 Ibrahim I, Khan WS, Goddard N, Smitham P. Carpal tunnel syndrome: a review of the recent literature. Open Orthop J 2012; 6: 69-76
  • 2 Perkins BA, Olaleye D, Bril V. Carpal tunnel syndrome in patients with diabetic polyneuropathy. Diabetes Care 2002; 25 (03) 565-569
  • 3 Marciano LHC, Leite VM, Araujo PM, Garbino JA. Avaliação do comprometimento neurológico e da prevalência da síndrome do túnel do carpo em pacientes portadores de diabetes mellitus tipo 2. Acta Fisiatr 2007; 14 (03) 134-141
  • 4 Mondelli M, Aretini A, Rossi S. Ulnar neuropathy at the elbow in diabetes. Am J Phys Med Rehabil 2009; 88 (04) 278-285
  • 5 Mojaddidi MA, Ahmed MS, Ali R. et al. Molecular and pathological studies in the posterior interosseous nerve of diabetic and non-diabetic patients with carpal tunnel syndrome. Diabetologia 2014; 57 (08) 1711-1719
  • 6 Stevens JC. American Association of Electrodiagnostic Medicine. AAEM minimonograph #26: the electrodiagnosis of carpal tunnel syndrome. Muscle Nerve 1997; 20 (12) 1477-1486
  • 7 Kirkwood BR, Sterne JA. Essential medical statistics. 2nd ed.. Blackwell Science; Massachusetts: 2006
  • 8 Sassi SA, Giddins G. Gender differences in carpal tunnel relative cross-sectional area: a possible causative factor in idiopathic carpal tunnel syndrome. J Hand Surg Eur Vol 2016; 41 (06) 638-642
  • 9 Papanas N, Maltezos E. The diabetic hand: a forgotten complication?. J Diabetes Complications 2010; 24 (03) 154-162
  • 10 Phalen GS. The carpal-tunnel syndrome. Clinical evaluation of 598 hands. Clin Orthop Relat Res 1972; 83 (83) 29-40
  • 11 Mulder DW, Lambert EH, Bastron JA, Sprague RG. The neuropathies associated with diabetes mellitus. A clinical and electromyographic study of 103 unselected diabetic patients. Neurology 1961; 11 (04) 275-284
  • 12 Blodgett Jr RC, Lipscomb PR, Hill RW. Incidence of hematologic disease in patients with carpal tunnel syndrome. JAMA 1962; 182: 814-815
  • 13 Comi G, Lozza L, Galardi G, Ghilardi MF, Medaglini S, Canal N. Presence of carpal tunnel syndrome in diabetics: effect of age, sex, diabetes duration and polyneuropathy. Acta Diabetol Lat 1985; 22 (03) 259-262
  • 14 Kouyoumdjian JA. Síndrome do túnel do carpo: aspectos clínico-epidemiológico em 668 casos. Arq Neuropsiquiatr 1999; 57 (02) 504-512
  • 15 Becker J, Nora DB, Gomes I. et al. An evaluation of gender, obesity, age and diabetes mellitus as risk factors for carpal tunnel syndrome. Clin Neurophysiol 2002; 113 (09) 1429-1434
  • 16 Bland JD. The relationship of obesity, age, and carpal tunnel syndrome: more complex than was thought?. Muscle Nerve 2005; 32 (04) 527-532
  • 17 Spahn G, Wollny J, Hartmann B, Schiele R, Hofmann GO. [Metaanalysis for the evaluation of risk factors for carpal tunnel syndrome (CTS) Part I. General factors]. Z Orthop Unfall 2012; 150 (05) 503-515