Le syndrome du canal carpien chez les patients hémodialysés chroniques

Mbarki, H.; Akrichi, A.; Lazrak, A.; Maaroufi, C.; Midaoui, A. El; Tachfouti, Nabil; Jellouli, Wafa; Arrayhani, M.; Belahsen, M.F.; Sqalli, T.

doi:10.11604/pamj.2013.14.19.387

Cited by 7 publications

(8 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, some authors reported an increased ratio of CTS in MDH patients compared with our study, i.e. 27.5% (11/40 MHD patients) [23] and 30.5% (18/59 MHD patients) [24]. The incidence of CTS in different studies is related to different patient characteristics, and the frequency of occurrence of CTS risk factors differed in the studies.…”

Section: Discussioncontrasting

confidence: 76%

Association between low serum prealbumin levels and carpal tunnel syndrome in maintenance hemodialysis patients

Dung

Loc²,

Quyen³

et al. 2020

Renal Failure

View full text Add to dashboard Cite

Aims: Carpal tunnel syndrome (CTS) and low serum prealbumin concentration are common in maintenance hemodialysis patients. In this study, we focused on the association between low serum prealbumin levels and carpal tunnel syndrome in maintenance hemodialysis (MHD) patients using low-flux dialysis reuse. Materials and methods: Serum prealbumin levels were assessed to determine the association between low serum prealbumin levels and CTS in 373 prevalent MHD patients (the mean age was 45 years old, hemodialysis duration was 46 months). The patients were divided into 2 groups: the CTS group with 44 patients and the non-CTS group with 329 patients. Results: The prevalence of CTS was 11.8%. Serum prealbumin showed a good prognostic value to predict CTS in MHD patients using low-flux dialysis reuse (the Area Under the Curve ¼ 0.841, p < .001; cutoff value: 26.5 mg/dL with sensitivity ¼ 72.7% and specificity ¼ 79.9%). Conclusions: Serum prealbumin was a good prognostic biomarker of CTS in MHD patients using low-flux dialysis reuse.

show abstract

Section: Discussioncontrasting

confidence: 76%

Association between low serum prealbumin levels and carpal tunnel syndrome in maintenance hemodialysis patients

Dung

Loc²,

Quyen³

et al. 2020

Renal Failure

View full text Add to dashboard Cite

show abstract

“…Previous studied have shown that risk factors of CTS and TS included injuries such as wrist fracture, 2 , 9 diabetes mellitus, 23 , 25 rheumatoid arthritis, 5 , 23 and dialysis. 18 , 23 However, in our study, no patients had these injuries or diseases. Therefore, we could not investigate the risk factors of CTS and TS.…”

Section: Discussioncontrasting

confidence: 51%

Early detection and treatment of complications in the fingers and hand after arthroscopic rotator cuff repair

Harada

Mura²,

Takahara

et al. 2020

JSES International

View full text Add to dashboard Cite

Background Complications in the fingers and hand after arthroscopic rotator cuff repair (ARCR) have been reported to include carpal tunnel syndrome (CTS), flexor tenosynovitis (TS), and complex regional pain syndrome. These studies were conducted retrospectively; however, the reported complications have not been examined prospectively. The aim of this study was to evaluate the outcomes of early detection and treatment of the complications after ARCR. Methods Forty-six patients (48 shoulders) who underwent ARCR were prospectively examined to investigate complications in the fingers and hand after ARCR. We attempted to immediately detect and proactively treat these complications. We evaluated the outcomes of the early detection and treatment of the complications. Results Complications were observed in 17 hands (35%) and occurred an average of 1.5 months after ARCR. The symptoms in 3 hands resolved spontaneously, 2 hands were diagnosed with CTS, and 12 hands were diagnosed with TS. Of the 12 hands with TS, 11 exhibited no triggering of the fingers. Among the 14 hands diagnosed with CTS or TS, 13 hands (CTS: 2 hands, TS: 11 hands) were treated with corticosteroid injections; the mean interval between treatment initiation and symptom resolution was 1.0 months (0.5-3.0 months). None exhibited complex regional pain syndrome. Conclusions When symptoms occur in the fingers and hand after ARCR, CTS or TS should be primarily suspected. The diagnosis of TS must be made carefully because most patients with TS have no triggering. For patients with CTS or TS after ARCR, rapid corticosteroid injection administration can lead to improvement in these symptoms.

show abstract

“…Space occupying lesions associated with DRA usually induces compressive neuropathy around the wrist resulting CTS. 6) This case demonstrated the severely destructive form of DRA that occurred in the wrist joint and surrounding tendons. There have been a few articles that arouse physician's attention to early diagnosis and surgical intervention, especially DRA in hand.…”

Section: Discussionmentioning

confidence: 79%

Severe Destructive Tendinopathy in the Wrist Due to Dialysis-Related Amyloidosis

Kim

Choi²,

Park

2017

J Hand Surg Asian-Pac Vol

View full text Add to dashboard Cite

Dialysis-related amyloidosis (DRA) is a specific subtype of amyloidosis with several clinical presentations. Herein we report a case of severe destructive tendinopathy around the wrist associated with long-standing hemodialysis (HD). A 63-year-old female patient who had been on regular HD for 23 years suffered from symptoms of pain and a palpable mass around the wrist. Magnetic resonance imaging showed an ill-defined soft tissue mass around the extensor tendons that partially invaded the wrist joint. We performed surgical excision and tenolysis for the mass. The operative finding revealed an ill-defined yellowish soft tissue mass extensively invading the extensor tendons and wrist joint. The tendon fibers were severely fibrillated and showed impending rupture due to the infiltrated mass. Histological examination showed DRA. Amyloidosis-induced tendinopathy should be considered when a patient on long-term HD complains of an unusual mass-like lesion in the extremity and/or nonspecific joint stiffness. Early surgical intervention improves patient’s disability and decreases the risk of spontaneous tendon rupture.

show abstract

Le syndrome du canal carpien chez les patients hémodialysés chroniques

Cited by 7 publications

References 26 publications

Association between low serum prealbumin levels and carpal tunnel syndrome in maintenance hemodialysis patients

Association between low serum prealbumin levels and carpal tunnel syndrome in maintenance hemodialysis patients

Early detection and treatment of complications in the fingers and hand after arthroscopic rotator cuff repair

Severe Destructive Tendinopathy in the Wrist Due to Dialysis-Related Amyloidosis

Contact Info

Product

Resources

About