Arslan Yıldız, Bülbül İsmail, Öcek Levent, Şener Ufuk, Zorlu Yaşar
İzmir Tepecik Education and Research Hospital Neurology Clinic, Yenişehir mah., 35120, Konak/Izmir, Turkey.
Uşak Government Hospital Neurology Clinic, Uşak, Turkey.
Neurol Sci. 2017 Apr;38(4):605-610. doi: 10.1007/s10072-017-2809-9. Epub 2017 Jan 12.
Carpal tunnel syndrome (CTS), majority of cases are considered to be idiopathic, is the most commonly encountered peripheral neuropathy causing disability. We asserted that thick and big hands may more prone to idiopathic CTS (ICTS) than others. The study included 165 subjects admitted to our electrophysiology lab with pre-diagnosis of CTS between May 2014 and April 2015. Eighty-five of the subjects were diagnosed as ICTS. The parameters analyzed were: age, gender, occupation, BMI, hand dominance, grade of ICTS, wrist circumference, proximal/distal width of palm, hand/palm length, hand volume and palm length/proximal palm width. Female gender was significantly higher in both groups. The mean age of study group was 44.02 ± 9.11 years, and control group was 41.25 ± 9.94 years. BMI, wrist circumference and hand volume were significantly higher in the study group (p < 0.05). However, palm length/prox.palm width ratio was higher in the control group (p = 0.00). There were also significant differences among CTS groups in terms of age (p = 0.001). Mean age was higher in severe CTS group. Female gender, older age and high BMI are risk factors for ICTS. Higher hand volume, wrist circumference and lower palm length/prox. palm width ratio can also be anthropometric risk factors. Large hand volumes, big and coarse hands are more prone to ICTS.
腕管综合征（CTS），大多数病例被认为是特发性的，是最常见的导致残疾的周围神经病变。我们断言，手又粗又大的人可能比其他人更容易患特发性CTS（ICTS）。该研究纳入了2014年5月至2015年4月期间因预先诊断为CTS而入住我们电生理实验室的165名受试者。其中85名受试者被诊断为ICTS。分析的参数包括：年龄、性别、职业、体重指数（BMI）、利手、ICTS分级、腕围、手掌近端/远端宽度、手/手掌长度、手体积和手掌长度/近端手掌宽度。两组中的女性比例均显著更高。研究组的平均年龄为44.02±9.11岁，对照组为41.25±9.94岁。研究组的BMI、腕围和手体积显著更高（p<0.05）。然而，对照组的手掌长度/近端手掌宽度比值更高（p=0.00）。CTS各亚组之间在年龄方面也存在显著差异（p=0.001）。重度CTS组的平均年龄更高。女性、年龄较大和高BMI是ICTS的危险因素。较高的手体积、腕围以及较低的手掌长度/近端手掌宽度比值也可能是人体测量学危险因素。手体积大、手又大又粗糙的人更容易患ICTS。
