Surgical management of carpal tunnel syndrome

Abstract

Abstract Background and Aim: To determine the prevalence and risk factors of carpal tunnel syndrome among patients who visited Damascus Hospital between the years 1/1/2015 and 1/1/2023 and their relationship with age, gender, and clinical symptoms. Methods and material: Information was collected according to the research form to adjust the inclusion and exclusion criteria, and the clinical history information was recorded in detail, which included: age, sex, habits, Tinel's sign, Phalen's maneuver, whether diabetes was present, and other symptoms and signs. The study included 80 male and female patients. Results: Most of the patients are in the age group of 25–45 years (57.5%), and the percentage of infected females constituted about two-thirds of the patients (62.5%), and a third of the patients were smokers (30%), and a quarter of the patients had diabetes, and the percentage of pregnant women was (11.3). A statistically significant relationship between gender and signs and symptoms (positive Tinel's sign, positive Phalen's maneuver, presence of numbness, presence of tingling, loss of sensation, presence of pain, presence of weakness and muscle atrophy, presence of complex regional pain, presence of tenderness of scars) (statistical significance less than 0.05), There is a statistically significant relationship between all symptoms and signs except complex regional pain syndrome and scar tenderness, and there is a statistically significant relationship between both diabetes and (positivity of Tinel's sign, positivity of Phalen's maneuver, presence of numbness, presence of tingling, loss of sensation, presence of pain), absence of a relationship. There is a statistically significant relationship between smoking and the occurrence of signs and symptoms, and there is a statistically significant relationship between pregnancy and (positivity of Tinel's sign, positivity of Phalen's maneuver, presence of numbness, presence of tingling). conclusion: A health care professional can diagnose patients with mild symptoms of carpal tunnel syndrome without the need for additional testing, and patients with unusual or severe symptoms should undergo electrodiagnostic tests.