Idiopathic carpal tunnel syndrome and de Quervain’s tenosynovitis: is there an association?

Mandıroğlu, Sibel; Alemdaroğlu, Ebru

doi:10.1080/08990220.2021.1986378

Cited by 4 publications

(2 citation statements)

References 26 publications

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“…Some studies suggested that CTS accompanied with TD may occur in the same hand, successively or simultaneously [ 5 , 6 ]. Yet, CTS with TD simultaneously is less common [ 7 ], and factors related to the risk of the onset of CTS with TD and its treatment have not yet been reported. The aim of this study was to investigate patients' clinical characteristics and treatment.…”

Section: Introductionmentioning

confidence: 99%

Clinical Characteristics and Treatment of Adult Idiopathic Carpal Tunnel Syndrome Accompanied with Trigger Digit

Hong

Xue

et al. 2022

Computational and Mathematical Methods in Medicine

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Purpose. To investigate the clinical characteristics and treatment of adult idiopathic carpal tunnel syndrome (CTS) accompanied with trigger digit. Materials and Methods. A retrospective analysis was performed on a total of 74 patients with adult idiopathic CTS accompanied with trigger digit admitted to and treated at the Hand Surgery Department of Ningbo No. 6 Hospital from January 1, 2017 to December 31, 2019. Data on patients’ gender, age, occupation, course of the disease, menstruation, surgeries, examination-related information, complications, treatment methods, and prognoses during follow-up were recorded and subsequently used to analyze the pathogeneses, clinical characteristics, and treatment. Results. A total of 74 patients (72 females and 2 males) were included. Among female patients, 51 were postmenopausal and 18 were non-postmenopausal. There were 101 fingers with trigger digit, including 14 patients with trigger digit in both hands, and 115 wrists affected by the CTS. The average course of CTS was 34.5 ± 49.3 months, and that of trigger digit was 10.5 ± 22.4 months. Seventy had both trigger digit and CTS in one hand, while among patients with both hands involved, only 4 had trigger digit or CTS in one hand. Eighty-nine fingers underwent A1 pulley release, and 104 hands underwent carpal tunnel surgery, with steroids being injected under the adventitia of the median nerve during the surgery. All patients who underwent surgeries had I/A-healed incisions, and 14 of them had obvious synovial hyperplasia observed in the carpal tunnel and flexor tendon sheath during surgeries. Follow-up visits, which lasted 3 to 35 months, had an average duration of 1.34 years and included 72 patients. In 63 patients (63/72), the syndrome of tenosynovitis and numbness disappeared and normal hand functions were restored; in 6 patients, the numbness in hands greatly improved and normal hand functions were almost completely restored, while no improvement in numbness of hands and limited hand functions were still observed in 3 patients. Conclusion. CTS accompanied with trigger digit was more common in postmenopausal females, and the course of CTS was longer than that of trigger digit. CTS and trigger digit were more likely to simultaneously occur in the same hand, while some patients might not have obvious synovial hyperplasia in the carpal tunnel. Surgeries were effective in severe cases.

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Section: Introductionmentioning

confidence: 99%

Clinical Characteristics and Treatment of Adult Idiopathic Carpal Tunnel Syndrome Accompanied with Trigger Digit

Hong

Xue

et al. 2022

Computational and Mathematical Methods in Medicine

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“…Few studies have discussed the association of DQT with the development of shoulder adhesive capsulitis. Mandiroglu et al in 2021 revealed that DQT is more prevalent among patients with idiopathic carpal tunnel syndrome than in the general population, and that the early identification and diagnosis of both pathologies may have a positive influence on treatment [ 40 ]. For men younger than 40 years undergoing treatment for DQT, monitoring for the development of shoulder adhesive capsulitis is recommended.…”

Section: Discussionmentioning

confidence: 99%

De Quervain Tenosynovitis as a Risk Factor of New-Onset Adhesive Capsulitis: A Nationwide Cohort Study

et al. 2023

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This study investigated the association of de Quervain tenosynovitis (DQT) with subsequent adhesive capsulitis (AC) development. Patients with DQT between 2001 and 2017 from the Taiwan National Health Insurance Research Database were the DQT cohort. The 1:1 propensity score matching method was applied for creating control cohort. The primary outcome was defined as new-onset of AC at least 1 year after the date of confirmed diagnosis of DQT. In total, 32,048 patients with mean age 45.3 years were included. DQT was significantly positively associated with risk of new-onset AC after adjustment for baseline characteristics. Furthermore, severe DQT requiring rehabilitation was positively associated with risk of new-onset AC. In addition, male gender and age under 40 may be additional risk factors for new-onset AC, compared to female gender and age over 40. Cumulative incidence of AC after 17 years was 24.1% among patients with severe DQT requiring rehabilitation and was 20.8% among patients with DQT without rehabilitation. This is the first population-based study to demonstrate an association between DQT and new-onset AC. The findings recommend that preventive occupational therapy, including active modification for the shoulder joint and adjustments to daily activities, may be necessary for patients with DQT to reduce their risk of developing AC.

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The causal relationship between carpal tunnel syndrome and de Quervain’s tenosynovitis: A Mendelian randomization study

zhao,

Shen,

Fei

et al. 2024

Asian Journal of Surgery

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Idiopathic carpal tunnel syndrome and de Quervain’s tenosynovitis: is there an association?

Cited by 4 publications

References 26 publications

Clinical Characteristics and Treatment of Adult Idiopathic Carpal Tunnel Syndrome Accompanied with Trigger Digit

Clinical Characteristics and Treatment of Adult Idiopathic Carpal Tunnel Syndrome Accompanied with Trigger Digit

De Quervain Tenosynovitis as a Risk Factor of New-Onset Adhesive Capsulitis: A Nationwide Cohort Study

The causal relationship between carpal tunnel syndrome and de Quervain’s tenosynovitis: A Mendelian randomization study

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