Carpal Tunnel Syndrome and Diabetes—A Comprehensive Review

Carpal tunnel syndrome (CTS) is the most common compression neuropathy in the general population and is frequently encountered among individuals with type 1 and 2 diabetes. The reason(s) why a peripheral nerve trunk in individuals with diabetes is more susceptible to nerve compression is still not c...

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Main Authors: Malin Zimmerman, Anders Gottsäter, Lars B. Dahlin
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/6/1674
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author Malin Zimmerman
Anders Gottsäter
Lars B. Dahlin
author_facet Malin Zimmerman
Anders Gottsäter
Lars B. Dahlin
author_sort Malin Zimmerman
collection DOAJ
description Carpal tunnel syndrome (CTS) is the most common compression neuropathy in the general population and is frequently encountered among individuals with type 1 and 2 diabetes. The reason(s) why a peripheral nerve trunk in individuals with diabetes is more susceptible to nerve compression is still not completely clarified, but both biochemical and structural changes in the peripheral nerve are probably implicated. In particular, individuals with neuropathy, irrespective of aetiology, have a higher risk of peripheral nerve compression disorders, as reflected among individuals with diabetic neuropathy. Diagnosis of CTS in individuals with diabetes should be carefully evaluated; detailed case history, thorough clinical examination, and electrophysiological examination is recommended. Individuals with diabetes and CTS benefit from surgery to the same extent as otherwise healthy individuals with CTS. In the present review, we describe pathophysiological aspects of the nerve compression disorder CTS in relation to diabetes, current data contributing to the explanation of the increased risk for CTS in individuals with diabetes, as well as diagnostic methods, treatment options, and prognosis of CTS in diabetes.
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spelling doaj.art-c49938dfa9a44c3c885a8b1db6d1a2672023-11-24T01:50:36ZengMDPI AGJournal of Clinical Medicine2077-03832022-03-01116167410.3390/jcm11061674Carpal Tunnel Syndrome and Diabetes—A Comprehensive ReviewMalin Zimmerman0Anders Gottsäter1Lars B. Dahlin2Department of Hand Surgery, Skåne University Hospital, Lund University, 205 02 Malmö, SwedenDepartment of Medicine, Skåne University Hospital, 205 02 Malmö, SwedenDepartment of Hand Surgery, Skåne University Hospital, Lund University, 205 02 Malmö, SwedenCarpal tunnel syndrome (CTS) is the most common compression neuropathy in the general population and is frequently encountered among individuals with type 1 and 2 diabetes. The reason(s) why a peripheral nerve trunk in individuals with diabetes is more susceptible to nerve compression is still not completely clarified, but both biochemical and structural changes in the peripheral nerve are probably implicated. In particular, individuals with neuropathy, irrespective of aetiology, have a higher risk of peripheral nerve compression disorders, as reflected among individuals with diabetic neuropathy. Diagnosis of CTS in individuals with diabetes should be carefully evaluated; detailed case history, thorough clinical examination, and electrophysiological examination is recommended. Individuals with diabetes and CTS benefit from surgery to the same extent as otherwise healthy individuals with CTS. In the present review, we describe pathophysiological aspects of the nerve compression disorder CTS in relation to diabetes, current data contributing to the explanation of the increased risk for CTS in individuals with diabetes, as well as diagnostic methods, treatment options, and prognosis of CTS in diabetes.https://www.mdpi.com/2077-0383/11/6/1674carpal tunnel syndromediabetic neuropathydiabetes
spellingShingle Malin Zimmerman
Anders Gottsäter
Lars B. Dahlin
Carpal Tunnel Syndrome and Diabetes—A Comprehensive Review
Journal of Clinical Medicine
carpal tunnel syndrome
diabetic neuropathy
diabetes
title Carpal Tunnel Syndrome and Diabetes—A Comprehensive Review
title_full Carpal Tunnel Syndrome and Diabetes—A Comprehensive Review
title_fullStr Carpal Tunnel Syndrome and Diabetes—A Comprehensive Review
title_full_unstemmed Carpal Tunnel Syndrome and Diabetes—A Comprehensive Review
title_short Carpal Tunnel Syndrome and Diabetes—A Comprehensive Review
title_sort carpal tunnel syndrome and diabetes a comprehensive review
topic carpal tunnel syndrome
diabetic neuropathy
diabetes
url https://www.mdpi.com/2077-0383/11/6/1674
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AT andersgottsater carpaltunnelsyndromeanddiabetesacomprehensivereview
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