SUMMARY
Introduction: Carpal tunnel syndrome is the most common entrapment syndrome and most commonly diagnosed, treated and reported occupational disease in Slovakia. Except from the occupational factors there are several risk factors and general diseases known in its etiology, such as altered anatomical conditions due to wrist injury, female sex, obesity. In literature, there are different views on portion of diabetes mellitus, thyreopathy and rheumatoid arthritis in the pathogenesis.
Material and Methods: Retrospective analysis of set of 139 patients (91 women, 48 men) with occupational carpal tunnel syndrome reported as the item 29 in the Slovak List of Occupational Diseases by the Clinic of Occupational Medicine and Toxicology of Jessenius Faculty of Medicine in Martin, Commenius University in Bratislava and Martin University Hospital in the years of 2013-2018. Determination of carpal tunnel syndrome degree at the time of reporting the occupational disease, presence and compensation of diabetes mellitus, thyreopathy, obesity and rheumatoid arthritis and their relationship to severity of findings. Descriptive methods of statistical analysis were used. Statistical significance was evaluated using the Chi-square test and the Fisher exact test, with p < 0.05 being considered statistically significant.
Results: We have confirmed a higher incidence of more serious findings in patients with diabetes mellitus and impaired fasting glucose (41,6 %, 40 % respectively) in comparison with patients without prediabetes or diabetes (20,5 %), however, this difference is not statistically significant. We did not confirm more frequent occurrence of more serious findings on median nerve in patients with hypothyreoidism, rheumatoid arthritis and isolated rheumatoid factor positivity.
Conclusion: Results of our study support the theory of diabetes mellitus and impaired fasting glucose participation in pathogenesis of carpal tunnel syndrome, however, their portion is not statistically significant.
Key words: carpal tunnel syndrome, occupational disease, long-term overload, diabetes mellitus
Lek Obz, 2021, 70 (2): 57-61
Martina MIKOLAJČÍKOVÁ 1, Peter MIKOLAJČÍK 2, Veronika FERENČÍKOVÁ 1, Ľudovít MUŠÁK 3, Zdenka MATUŠKOVÁ 1, Gabriela HUBENÁ 1, Petra KUSZIOVÁ 1, Oto OSINA 1
1 Klinika pracovného lekárstva a toxikológie, Univerzitná nemocnica Martin, Jesseniova lekárska fakulta v Martine Univerzity Komenského v Bratislave, vedúci doc. MUDr. O. Osina, PhD.
2 Chirurgická klinika a transplantačné centrum, Univerzitná nemocnica Martin, Jesseniova lekárska fakulta v Martine Univerzity Komenského v Bratislave, vedúci prof. MUDr. Ľ. Laca, PhD.
3 Martinské centrum pre biomedicínu (BioMed Martin), Jesseniova lekárska fakulta v Martine Univerzity Komenského v Bratislave, Malá Hora, Martin, vedúca prof. RNDr. E. Halašová, PhD.
CITE:
MIKOLAJČÍKOVÁ M., MIKOLAJČÍK P., FERENČÍKOVÁ V., MUŠÁK Ľ., MATUŠKOVÁ Z., HUBENÁ G., KUSZIOVÁ P., OSINAO.: Occupational carpal tunnel syndrome and selected comorbidities. Lek Obz, 2021, 70 (2): 57-61
