Carpal tunnel syndrome in black South Africans

Goga, IE

doi:10.1016/0266-7681(90)90058-c

Cited by 17 publications

(5 citation statements)

References 10 publications

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“…In the United States, the incidence of CTS is one to three persons per 1000 subjects per year, with a prevalence of 50 cases per 1000 subjects in the general population [ 2 ]. In South Africa, CTS most commonly affects White people and appears to be rare in Black South Africans [ 12 ]. The rate of CTS is two to three times more common among the White US Navy personnel compared to their black counterparts [ 13 ].…”

Section: Reviewmentioning

confidence: 99%

An Integrated Review of Carpal Tunnel Syndrome: New Insights to an Old Problem

Omole¹,

Awosika²,

Khan³

et al. 2023

Cureus

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Carpal tunnel syndrome (CTS) is a common entrapment neuropathy characterized by pain, numbness, and impaired function of the hand due to compression of the median nerve at the level of the wrist. Although CTS can develop from repetitive strain, injury, or medical conditions, there are also congenital and genetic risk factors that can predispose individuals to the condition. With respect to anatomical factors, some individuals are born with a smaller carpal tunnel, which increases their susceptibility to median nerve compression. Variations in specific genes, such as those encoding proteins involved in extracellular matrix remodeling, inflammation, and nerve function, have also been linked to an increased risk for CTS. CTS is associated with a high cost of health care maintenance and loss of work productivity. Therefore, it is vital that primary care physicians fully understand the anatomy, epidemiology, pathophysiology, etiology, and risk factors of CTS, so they can be proactive in prevention, diagnosing, and guiding proper treatment. This integrated review also provides insights into how biological, genetic, environmental, and occupational factors interact with structural elements to determine who is most likely to acquire and suffer from CTS. Keeping health practitioners abreast of all the factors that could impact CTS should go a long way in decreasing the health care and socioeconomic burden of CTS.

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Section: Reviewmentioning

confidence: 99%

An Integrated Review of Carpal Tunnel Syndrome: New Insights to an Old Problem

Omole¹,

Awosika²,

Khan³

et al. 2023

Cureus

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show abstract

“…Previous literature confirms that associated diseases, gender, BMI, age, ethnicity and occupation modify the prevalence and the natural course of CTS [4, 17]. For instance CTS is a rare condition in the non-white South African population and in North America, white US navy personnel have CTS at a rate 2–3 times that of black personnel [12, 14]. In studies comparing the outcomes of unilateral surgery in the context of bilateral disease, the patient populations are diverse: Afshar et al [1] included only patients with idiopathic CTS, whereas McLaughlin et al [20] included patients with diabetes mellitus, hypothyroidism, Paget disease, sarcoidosis and hypertension.…”

Section: Discussionmentioning

confidence: 89%

Immediate and Durable Clinical Improvement in the Non-Operated Hand after Contralateral Surgery for Patients with Bilateral Carpal Tunnel Syndrome

Unno¹,

Lucchina

Bosson³

et al. 2014

Hand (New York, N,Y.)

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Background Little is known about clinical improvement in the non-operated hand after unilateral surgery for patients who present with bilateral carpal tunnel syndrome (CTS). In this prospective study of patients with bilateral CTS, we evaluated the clinical effects on the non-operated hand following unilateral contralateral carpal tunnel surgical release. Material and Methods During a consecutive period of 22 months, 69 patients with bilateral CTS underwent unilateral open carpal tunnel release. Bilateral subjective and objective evaluations were performed pre-operatively, at days 2, 15 and 180 after surgery. Subjective evaluations, analysed with Student t test, included the Boston-Levine symptom severity score and a visual analogue scale including pain, nocturnal symptoms and numbness. A telephone survey was conducted 12 months after surgery. Results The Boston-Levine severity score of the contralateral non-operated hand decreased from 2.70 pre-operatively to 1.70 at 2 days (p<0.001). The visual analogue pain score decreased at 2 days for 61 patients (88 %), whereas the nocturnal symptoms decreased or disappeared in 63 cases (91 %) and the paresthesia in 52 cases (75 %) (ps<0.001). These beneficial effects were stable in time with no statistically significant change at 180 days. Overall, 58 patients (84 %) observed a total resolution or a significant improvement in their symptoms at 6 months. At 12 months, 100 % of patients responded to a telephone survey. Fifty one of them (74 %) reported minimal or no symptoms on the non-operated hand. Linear regression (analysis of variance [ANOVA]) showed that gender, age, professional status, duration of preoperative symptoms and severity of electrophysiological disturbances were not predictive of post-operative evolution in the non-operated hand after unilateral surgery for CTS.

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“…15) CTS appears to be rare among nonwhite South Africans, whereas Caucasians and Asians are considered to be at high risk of CTS. 11,16) …”

Section: Epidemiology and Risk Factors Of Ctsmentioning

confidence: 99%

Importance of Recognizing Carpal Tunnel Syndrome for Neurosurgeons: A Review

Yunoki

Kanda

Suzuki

et al. 2017

Neurol. Med. Chir.(Tokyo)

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Idiopathic carpal tunnel syndrome (CTS) is a common complaint, reflecting entrapment neuropathy of the upper extremity. CTS produces symptoms similar to those of other conditions, such as cervical spondylosis or ischemic or neoplastic intracranial disease. Because of these overlaps, patients with CTS are often referred to a neurosurgeon. Surgical treatment of CTS was started recently in our department. Through this experience, we realized that neurosurgeons should have an increased awareness of this condition so they can knowledgeably assess patients with a differential diagnosis that includes CTS and cervical spinal and cerebral disease. We conducted a literature review to gain the information needed to summarize current knowledge on the clinical, pathogenetic, and therapeutic aspects of CTS. Because the optimal diagnostic criteria for this disease are still undetermined, its diagnosis is based on the patient’s history and physical examination, which should be confirmed by nerve conduction studies and imaging modalities such as magnetic resonance imaging and ultrasonography. Treatment methods include observation, medication, splinting, steroid injections, and surgical intervention. Understanding the clinical features and pathogenesis of CTS, as well as the therapeutic options available to treat it, is important for neurosurgeons if they are to provide the correct management of patients with this disease.

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Carpal tunnel syndrome in black South Africans

Cited by 17 publications

References 10 publications

An Integrated Review of Carpal Tunnel Syndrome: New Insights to an Old Problem

An Integrated Review of Carpal Tunnel Syndrome: New Insights to an Old Problem

Immediate and Durable Clinical Improvement in the Non-Operated Hand after Contralateral Surgery for Patients with Bilateral Carpal Tunnel Syndrome

Importance of Recognizing Carpal Tunnel Syndrome for Neurosurgeons: A Review

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