שנה שפה:

Carpal Tunnel Release Surgery at a Young Age Indicates Need for Diabetes Mellitus Screening



Haggai Schermann, Adi Winsteen, Alon Grundshtein, Assaf Kadar, Oleg Dolkart, Tamir Pritsch
Orthopedic Surgery, Tel Aviv Sourasky Medical Center, Israel

Purpose: A few cross-sectional and case-control studies have investigated the association between diabetes mellitus (DM) and carpal tunnel syndrome (CTS), proposing that CTS may represent a risk factor for DM. We attempted to test this hypothesis using a retrospective cohort design.

Methods: We followed 90 consecutive patients aged 18-40 years who underwent either carpal tunnel release (CTR, the study cases, n = 36) or ankle fracture repair (the controls, n = 54) in our institution between 1990-2000. We assumed that the latter are representative of the general population after controlling for gender. Basic demographics and incidence of chronic diseases, including DM, were self-reported by the study subjects on a telephone survey.

Results: The average postoperative follow-up was 18.75 years (range 16-26) for the CTR group and 19.39 years (16-25) for the control group. DM was diagnosed in 26.5% of the CTR patients compared to 9.3% of the controls (P = 0.04). No group differences were detected for the four other investigated chronic disease states: hypertension, hypothyroidism, rheumatoid arthritis or hyperlipidemia.

Conclusion: The findings of this study suggest that CTS may be predictive of DM in young patients, thus calling for the screening of CTS patients for DM.

העלאת קובץ המאמר או המצגת

Haggai Schermann

Tel Aviv Sourasky Medical Center