Incidence and operations of median, ulnar and radial entrapment neuropathies in Finland: a nationwide register study

Hulkkonen, Sina; Lampainen, Kaisa; Auvinen, Juha; Miettunen, Jouko; Karppinen, Jaro; Ryhänen, Jorma

doi:10.1177/1753193419886741

Cited by 30 publications

(23 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The incidence of CTS has been reported to vary between 105 and 419 per 100 000 person-years peaking around 50 years of age [2,3,6,7]. CTS occurs more commonly in females than males although the difference has been shown to diminish with advancing age [2,3,6,7]. The prevalence of CTS symptoms have been reported to be 7.8 % in the working population [8].…”

Section: Introductionmentioning

confidence: 99%

Use of conservative therapy before and after surgery for carpal tunnel syndrome

Multanen

Uimonen

Repo

et al. 2021

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Conservative therapies are typically offered to individuals who experience mild or intermittent symptoms of carpal tunnel syndrome (CTS) or postoperatively to subjects who have undergone carpal tunnel release. Although long-term studies report mostly positive results for carpal tunnel release, knowledge on the need for conservative treatments following surgery is scarce. The aim of this retrospective cohort study was to examine the use of conservative therapies before and after carpal tunnel releasing surgery. Methods Of 528 patients who underwent carpal tunnel release surgery in the study hospital during the study period, 259 provided sufficiently completed questionnaires (response rate 49 %). The patients completed a questionnaire battery including a sociodemographic, medical history and symptom questionnaire, the Boston Carpal Tunnel Syndrome Questionnaire, 6-item CTS symptoms scale and EuroQoL 5D. Frequencies of conservative therapies pre- and postoperatively were calculated. Association between Pain VAS and satisfaction with treatment were examined in patient groups according to the use of conservative therapies. Results Of all patients, 41 (16 %) reported receiving only preoperative, 18 (7 %) reported receiving only postoperative, 157 (60 %) reported receiving both pre- and postoperative conservative therapies and 43 (17 %) did not receive any therapies. Preoperative use of conservative therapies was more common in females than males (82 % vs. 64 %; p = 0.002), but postoperatively no significant gender difference was observed. The patients who received conservative therapies were younger than non-users in both the preoperative (median age 59 vs. 66; p < 0.001) and postoperative (59 vs. 66; p = 0.04) phases. The patients reported high satisfaction with their treatment and simultaneous improvement in Pain VAS scores. Those receiving conservative therapies only preoperatively reported the highest satisfaction. Conclusions While the use of conservative therapies decreased after surgery, a large proportion of the patients received these adjunct interventions. Patients reported high satisfaction with their treatment one year post surgery. Pain outcome seems to be closely related to satisfaction with treatment. Level of Evidence Level III.

show abstract

Section: Introductionmentioning

confidence: 99%

Use of conservative therapy before and after surgery for carpal tunnel syndrome

Multanen

Uimonen

Repo

et al. 2021

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…Ulnar nerve entrapment (UNE) is the second most common entrapment neuropathy in the upper extremity after carpal tunnel syndrome 3 . Based on previous epidemiological studies, the annual incidence rate of UNE per 100,000 person-years ranges between 25 and 36 among men and between 17 and 26 among women 4 – 6 . The incidence rate increases until the middle age, before declining again, with the age peak of incidence varying around the fifth to seventh decade 4 – 7 .…”

Section: Introductionmentioning

confidence: 99%

Work-related risk factors for ulnar nerve entrapment in the Northern Finland Birth Cohort of 1966

Miettinen

Ryhänen

Shiri

et al. 2021

Sci Rep

Self Cite

View full text Add to dashboard Cite

Ulnar nerve entrapment (UNE) is the second most common entrapment neuropathy in the upper extremity. The aetiology of UNE is multifactorial and is still not fully understood. The aim of the study was to identify occupational risk factors for UNE and to determine whether smoking modifies the effects of work-related factors on UNE. The study population consisted of the Northern Finland Birth Cohort of 1966 (NFBC1966). In total, 6325 individuals active in working life participated at baseline in 1997. Occupational risk factors were evaluated by a questionnaire at baseline. The data on hospitalizations due to UNE were obtained from the Care Register for Health Care between 1997 and 2018. The incidence rate of hospitalization due to UNE was 47.6 cases per 100,000 person-years. After adjusting for confounders, entrepreneurs (Hazard ratio (HR) = 3.68, 95% CI 1.20–11.27), smokers (HR = 2.51, 95% CI 1.43–4.41), workers exposed to temperature changes (HR = 1.72, 95% CI 1.00–2.93), workers with physically demanding jobs (HR = 3.02, 95% CI 1.39–6.58), and workers exposed to hand vibration (HR = 1.94, 95% CI 1.00–3.77) were at an increased risk of hospitalization for UNE. Exposure to work requiring arm elevation increased the risk of hospitalization due to UNE among smokers (HR = 2.62, 95% CI 1.13–6.07), but not among non-smokers. Work-related exposure to vibration and temperature changes, and physically demanding work increase the risk of hospitalization for UNE. Smoking may potentiate the adverse effects of work-related factors on UNE.

show abstract

“…Entrapment mononeuropathies are common and contribute to considerable morbidity in the community. The most common entrapment is carpal tunnel syndrome, with an estimated incidence of 197 per 100,000 women, 1 , 2 and much higher rates among employees in certain industries (eg, up to 42% prevalence in poultry workers). 3 , 4 Early diagnosis is essential in entrapment mononeuropathy, to limit nerve injury and associated morbidity.…”

Section: Introductionmentioning

confidence: 99%

Review Article “Spotlight on Ultrasonography in the Diagnosis of Peripheral Nerve Disease: The Evidence to Date”

Hannaford¹,

Vucic²,

Kiernan³

et al. 2021

IJGM

View full text Add to dashboard Cite

Neuromuscular ultrasound is rapidly becoming incorporated into clinical practice as a standard tool in the assessment of peripheral nerve diseases. Ultrasound complements clinical phenotyping and electrodiagnostic evaluation, providing critical structural anatomical information to enhance diagnosis and identify structural pathology. This review article examines the evidence supporting neuromuscular ultrasound in the diagnosis of compressive mononeuropathies, traumatic nerve injury, generalised peripheral neuropathy and motor neuron disease. Extending the sonographic evaluation of nerves beyond simple morphological measurements has the potential to improve diagnostics in peripheral neuropathy, as well as advancing the understanding of pathological mechanisms, which in turn will promote precise therapies and improve therapeutic outcomes.

show abstract

Incidence and operations of median, ulnar and radial entrapment neuropathies in Finland: a nationwide register study

Cited by 30 publications

References 15 publications

Use of conservative therapy before and after surgery for carpal tunnel syndrome

Use of conservative therapy before and after surgery for carpal tunnel syndrome

Work-related risk factors for ulnar nerve entrapment in the Northern Finland Birth Cohort of 1966

Review Article “Spotlight on Ultrasonography in the Diagnosis of Peripheral Nerve Disease: The Evidence to Date”

Contact Info

Product

Resources

About