Idiopathic carpal tunnel syndrome in male patients

Introduction. The carpal tunnel syndrome (CTS) in male patients, due to anatomical characteristics and the perception of CTS-related symptoms, remains undetected for a long time. Men respond less well to CTS treatment, and early detection enables conservative treatment of mild and moderate CTS. The...

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Main Authors: Igor Sladojević, Tatjana Bućma, Ostoja Savić
Format: Article
Language:Bosnian
Published: University of East Sarajevo 2023-06-01
Series:Biomedicinska istraživanja
Subjects:
Online Access:https://biomedicinskaistrazivanja.mef.ues.rs.ba/article/306
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author Igor Sladojević
Tatjana Bućma
Ostoja Savić
author_facet Igor Sladojević
Tatjana Bućma
Ostoja Savić
author_sort Igor Sladojević
collection DOAJ
description Introduction. The carpal tunnel syndrome (CTS) in male patients, due to anatomical characteristics and the perception of CTS-related symptoms, remains undetected for a long time. Men respond less well to CTS treatment, and early detection enables conservative treatment of mild and moderate CTS. The aim of this paper was to examine the average age, the frequency of bilateral CTS and its correlation with the age, and to determine the grade of electrophysiological damage of the median nerve in male patients with idiopathic CTS diagnosed by electromyoneurography. Methods. The retrospective study included 83 male patients, aged from 32 to 81 years, with complaints of unilateral CTS on the right, dominant hand. All patients underwent EMNG for confirmation of CTS and the degree of median nerve damage. Statistical analysis was performed by methods of descriptive statistics, t-test, Wilcoxon signed rank test, and Pearson’s correlation coefficient. The value of p < 0.05 was considered statistically significant. Results. The average age of patients was 55.84 years. The bilateral CTS was confirmed in 88.4%, most often of a moderate degree and more pronounced on the right, dominant hand (p=0.001). In cases of bilateral CTS, age did not correlate with the grade of CTS changes in both hands. The changes in the dominant hand were more pronounced in patients older than 51 years. Conclusion. Male patients with idiopathic CTS usually have bilateral CTS, with more pronounced changes on dominant hand. Bilaterality of CTS and the degree of median nerve damage are not connected with age.
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spelling doaj.art-451a0f89e43d4a81b51c4d48f8d12d462023-06-30T09:19:39ZbosUniversity of East SarajevoBiomedicinska istraživanja1986-85291986-85372023-06-0114110.59137/BII202301306SIdiopathic carpal tunnel syndrome in male patientsIgor Sladojević0Tatjana Bućma1Ostoja Savić2University of Banja Luka, Banja Luka, Bosnia and HerzegovinaInstitute for Physical Medicine and Rehabilitation ”Dr Miroslav Zotović”, University clinical center of Republika Srpska, Banja Luka, Bosnia and HerzegovinaUniversity clinical center of Republika Srpska, Banja Luka, Bosnia and HerzegovinaIntroduction. The carpal tunnel syndrome (CTS) in male patients, due to anatomical characteristics and the perception of CTS-related symptoms, remains undetected for a long time. Men respond less well to CTS treatment, and early detection enables conservative treatment of mild and moderate CTS. The aim of this paper was to examine the average age, the frequency of bilateral CTS and its correlation with the age, and to determine the grade of electrophysiological damage of the median nerve in male patients with idiopathic CTS diagnosed by electromyoneurography. Methods. The retrospective study included 83 male patients, aged from 32 to 81 years, with complaints of unilateral CTS on the right, dominant hand. All patients underwent EMNG for confirmation of CTS and the degree of median nerve damage. Statistical analysis was performed by methods of descriptive statistics, t-test, Wilcoxon signed rank test, and Pearson’s correlation coefficient. The value of p < 0.05 was considered statistically significant. Results. The average age of patients was 55.84 years. The bilateral CTS was confirmed in 88.4%, most often of a moderate degree and more pronounced on the right, dominant hand (p=0.001). In cases of bilateral CTS, age did not correlate with the grade of CTS changes in both hands. The changes in the dominant hand were more pronounced in patients older than 51 years. Conclusion. Male patients with idiopathic CTS usually have bilateral CTS, with more pronounced changes on dominant hand. Bilaterality of CTS and the degree of median nerve damage are not connected with age.https://biomedicinskaistrazivanja.mef.ues.rs.ba/article/306carpal tunnel syndromemedian nervemen
spellingShingle Igor Sladojević
Tatjana Bućma
Ostoja Savić
Idiopathic carpal tunnel syndrome in male patients
Biomedicinska istraživanja
carpal tunnel syndrome
median nerve
men
title Idiopathic carpal tunnel syndrome in male patients
title_full Idiopathic carpal tunnel syndrome in male patients
title_fullStr Idiopathic carpal tunnel syndrome in male patients
title_full_unstemmed Idiopathic carpal tunnel syndrome in male patients
title_short Idiopathic carpal tunnel syndrome in male patients
title_sort idiopathic carpal tunnel syndrome in male patients
topic carpal tunnel syndrome
median nerve
men
url https://biomedicinskaistrazivanja.mef.ues.rs.ba/article/306
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AT ostojasavic idiopathiccarpaltunnelsyndromeinmalepatients