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Open Access 01-12-2009 | Research article

Risk factors for operated carpal tunnel syndrome: a multicenter population-based case-control study

Authors: Stefano Mattioli, Alberto Baldasseroni, Massimo Bovenzi, Stefania Curti, Robin MT Cooke, Giuseppe Campo, Pietro G Barbieri, Rinaldo Ghersi, Marco Broccoli, Maria Pia Cancellieri, Anna Maria Colao, Marco dell'Omo, Pirous Fateh-Moghadam, Flavia Franceschini, Serenella Fucksia, Paolo Galli, Fabriziomaria Gobba, Roberto Lucchini, Anna Mandes, Teresa Marras, Carla Sgarrella, Stefano Borghesi, Mauro Fierro, Francesca Zanardi, Gianpiero Mancini, Francesco S Violante

Published in: BMC Public Health | Issue 1/2009

Abstract

Background

Carpal tunnel syndrome (CTS) is a socially and economically relevant disease caused by compression or entrapment of the median nerve within the carpal tunnel. This population-based case-control study aims to investigate occupational/non-occupational risk factors for surgically treated CTS.

Methods

Cases (n = 220) aged 18-65 years were randomly drawn from 13 administrative databases of citizens who were surgically treated with carpal tunnel release during 2001. Controls (n = 356) were randomly sampled from National Health Service registry records and were frequency matched by age-gender-specific CTS hospitalization rates.

Results

At multivariate analysis, risk factors were blue-collar/housewife status, BMI ≥ 30 kg/m², sibling history of CTS and coexistence of trigger finger. Being relatively tall (cut-offs based on tertiles: women ≥165 cm; men ≥175 cm) was associated with lower risk. Blue-collar work was a moderate/strong risk factor in both sexes. Raised risks were apparent for combinations of biomechanical risk factors that included frequent repetitivity and sustained force.

Conclusion

This study strongly underlines the relevance of biomechanical exposures in both non-industrial and industrial work as risk factors for surgically treated CTS.

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The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2458/9/343/prepub

Title: Risk factors for operated carpal tunnel syndrome: a multicenter population-based case-control study
Authors: Stefano Mattioli
Alberto Baldasseroni
Massimo Bovenzi
Stefania Curti
Robin MT Cooke
Giuseppe Campo
Pietro G Barbieri
Rinaldo Ghersi
Marco Broccoli
Maria Pia Cancellieri
Anna Maria Colao
Marco dell'Omo
Pirous Fateh-Moghadam
Flavia Franceschini
Serenella Fucksia
Paolo Galli
Fabriziomaria Gobba
Roberto Lucchini
Anna Mandes
Teresa Marras
Carla Sgarrella
Stefano Borghesi
Mauro Fierro
Francesca Zanardi
Gianpiero Mancini
Francesco S Violante
Publication date: 01-12-2009
Publisher: BioMed Central
Published in: BMC Public Health / Issue 1/2009
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/1471-2458-9-343

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Risk factors for operated carpal tunnel syndrome: a multicenter population-based case-control study

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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