Aldaghri Faris, Algahtani Mohammed S, Almutairi Talal A, Albusair Moath, Bin Ghali Khalid, Al Asim Fahad S
Plastic Surgery, Imam Muhammad Ibn Saud Islamic University, Riyadh, SAU.
Cureus. 2020 Dec 25;12(12):e12264. doi: 10.7759/cureus.12264.
Introduction Patients with carpal tunnel syndrome have a high prevalence of hypothyroidism, therefore, it is recommended to assess thyroid function routinely in patients with carpal tunnel syndrome. This study aims to determine the prevalence of hypothyroidism among carpal tunnel patients and to relate carpal tunnel in hypothyroidism to other socio-demographic factors. Methods This was a retrospective study carried out in King Fahad Medical City (KFMC) in Riyadh, Saudi Arabia. A total of 422 samples were collected conveniently from the files of patients who underwent carpal tunnel release surgery. The Statistical Package for the Social Sciences (SPSS) version 23 was used for data processing. The chi-square test was used to test the association between the categorical variables. A p-value of less than .05 was considered to be significant. Results Most of the respondents were females and most of them within the age group of 46 to 60 years. Thirteen point eight percent (13.8%) of the respondents are suffering from hypothyroidism and 5% from the sub-clinical form of the disease. More than two-thirds of those with hypothyroidism were asymptomatic. The duration of the disease was one to five years, and bilateral nerve concerns were mostly present in patients with carpal tunnel syndrome. The presence of thyroid abnormality doesn't affect the duration of carpal tunnel syndrome but body mass index (BMI) is significantly associated with hypothyroidism (p-value = .001). Conclusion Clinical symptoms of hypothyroidism are mostly absent in patients with carpal tunnel syndrome. Most patients with carpal tunnel syndrome have the disease for one to five years and this is not significantly associated with abnormal thyroid. Most patients have bilateral wrist involvement with no apparent symptoms and signs.
引言 腕管综合征患者甲状腺功能减退的患病率较高，因此，建议对腕管综合征患者常规评估甲状腺功能。本研究旨在确定腕管综合征患者中甲状腺功能减退的患病率，并将甲状腺功能减退中的腕管综合征与其他社会人口学因素相关联。方法 这是一项在沙特阿拉伯利雅得法赫德国王医疗城（KFMC）开展的回顾性研究。从接受腕管松解手术患者的病历中方便地收集了422份样本。使用社会科学统计软件包（SPSS）第23版进行数据处理。卡方检验用于检验分类变量之间的关联。p值小于0.05被认为具有统计学意义。结果 大多数受访者为女性，且大多数在46至60岁年龄组。13.8%的受访者患有甲状腺功能减退，5%患有该疾病的亚临床形式。超过三分之二的甲状腺功能减退患者无症状。疾病持续时间为1至5年，双侧神经受累在腕管综合征患者中大多存在。甲状腺异常的存在不影响腕管综合征的持续时间，但体重指数（BMI）与甲状腺功能减退显著相关（p值 = 0.001）。结论 腕管综合征患者大多没有甲状腺功能减退的临床症状。大多数腕管综合征患者患病1至5年，且这与甲状腺异常无显著关联。大多数患者双侧手腕受累，无明显症状和体征。
