Prevalence of symptomatic Carpal Tunnel syndrome in type 2 diabetics

Güven BULUT, Hülya GÖZÜ, Haluk SARGIN, Ali YAYLA, Türk Ülkü BÖRÜ, Arda LÜLECİ, Recep ALP, Abdülkadir KOÇER, Mehmet SARGIN

Abstract

Carpal Tunnel Syndrome (CTS) is one of the frequently seen trap neuropathy. CTS is more common in diabetics than the normal population. The prevalence of CTS in diabetics was changed according to the different studies. In this study, our aim is to study symptomatic CTS prevalence in diabetics and related conditions with this. Material-Method: 882 patients who were consecutively admitted to the'diabetes outpatient clinic were enrolled in the study. Patients who had other disease that can be a cause of CTS were dropped out. Patients were asked for CTS symptoms and diagnosed with provocative tests. Diagnosis of CTS was confirmed with EMG. Results: The mean age and diabetes duration of the 835 patients [327 (39.2%) male, 508 (60.8%) female] who were completed the study were 55.5 (30-76) years and 11.3 ± 5.4 years. CTS symptoms were found in 73 (%8.7) of patients. 65 (89%) of patients who were performed EMG, were diagnosed as CTS with or with neuropathy. Polyneuropathy was found in 7 (8.2%) patients with EMG. EMG results were normal in 1 (1.4%) patient. Conclusion: In our study, the prevalence of symptomatic CTS among type 2 diabetics, was in concordance with literature. Furthermore, we found CTS is more frequent in females and related with diabetes duration.

Özet

Amac: Karpal tunel sendromu (KTS) en sik gorulen tu-zak noropatilerdendir. Diabetlilerde normal populasyo-na gore KTS daha sik gorulmektedir, ancak sikhgi degi-sik calismalara gore farklilik gostermektedir. Bu çalışmada, Tip 2 Diabetlilerde semptomatik KTS prevalansini ve bununla iliskili durumlan arastirmayi amacladik. Gerec ve Yontem: Çalışmaya hastanemiz Diabet Ünitesine basvuran ve Tip 2 Diabet tanisi konmus ardışık 882 hasta alindi. KTS'a neden olabilecek diğer hastalığı olanlar çalışma dışına alindi. Vakalar KTS semptomları açısından sorgulandi ve provakatif testlerle tani kondu. EMG ile tani desteklendi. Bulgular: Çalışmayı tamamlayan 835 hastanın [327 (%39.2) erkek, 508 (%60.8)'si kadın] yaş ortalamasi 55.59 (30-76) yil ve Diabet süresi 11,3 ± 5.4 yil idi. Vakaların 73 (%8.7)'unde genel olarak KTS semptom ve bulgularma rastlandi. EMG yapılan hastaların (%89.0)'inde nöropati zemininde veya nöropatisiz KTS tanisi kondu. EMG yapilan hastalardan 7 (%8.2) tanesinde polinoropati varken, 1 (%1.4) hastada EMG normal sinirlardaydi. Sonuc: Çalışmamızda Diabetlilerde saptanan semptomatik KTS sıklığı literatürle uyumlu bulundu. Ayrica KTS'nin kadınlarda daha sik görüldüğü ve Diabet süresi ile ilişkili oldugu tespit edildi.