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Severe carpal tunne...
Severe carpal tunnel syndrome potentially needing surgical treatment in a general population.
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Atroshi, Isam (författare)
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- Gummesson, Christina (författare)
- Lund University,Lunds universitet,Människan i rörelse: hälsa och rehabilitering,Forskargrupper vid Lunds universitet,Human Movement: health and rehabilitation,Lund University Research Groups
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- Johnsson, Ragnar (författare)
- Lund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine
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McCabe, Steven J (författare)
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Ornstein, Ewald (författare)
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(creator_code:org_t)
- 2003
- 2003
- Engelska.
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Ingår i: The Journal of Hand Surgery. - 1531-6564. ; 28:4, s. 639-644
- Relaterad länk:
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http://www.ncbi.nlm....
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http://dx.doi.org/10...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Purpose: To estimate the prevalence of severe carpal tunnel syndrome (CTS) that potentially needs surgical treatment in a general population. Methods: A health-status questionnaire was mailed to a random general population sample of 3,000 subjects (ages, 25-74 y). The responders who reported numbness and/or tingling in the median nerve distribution in the hands were asked to attend a clinical evaluation at which they completed the validated CTS questionnaire and underwent physical examination and nerve conduction tests. The CTS questionnaire measures the severity of symptoms and disability on a scale from 1 (none) to 5 (most severe). The potential need for surgery was defined as CTS symptom severity score of 3.2 or greater or functional status score of 2.5 or greater (corresponding to median preoperative scores for surgical patients in previous reports). Results: The response rate for the survey was 83%. Of the responders who reported numbness and/or tingling in the median nerve distribution in the hands 81% attended the clinical evaluation. Of the 94 subjects diagnosed with clinically certain CTS, 19 (20%; 12 with electrophysiologically proven median neuropathy) had previously undiagnosed CTS that potentially needed surgical treatment, yielding a population prevalence of 7 per 1,000 (95% confidence interval, 4-11 per 1,000). Conclusions: In a general population there was a 0.7% prevalence of undiagnosed CTS with a severity similar to-that-of patients undergoing surgery. The degree to which variable numbers of this group are drawn into a medical system could account for variations in the rate of surgery performed.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- Middle Aged
- Male
- Human
- Health Surveys
- Female
- Non-U.S. Gov't
- Carpal Tunnel Syndrome: surgery
- Carpal Tunnel Syndrome: physiopathology
- Carpal Tunnel Syndrome: epidemiology
- Aged
- Sweden: epidemiology
- Adult
- Needs Assessment
- Neural Conduction: physiology
- Population Surveillance
- Prevalence
- Severity of Illness Index
- Support
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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