Gladys Alexandra Dias de Oliveira1, João Marcos Bernardes2, Elisiane de Souza Santos2, Adriano Dias3. 1. Universidade Estadual Paulista (UNESP), Faculdade de Medicina de Botucatu, Programa de Pós-Graduação Em Ginecologia, Obstetrícia E Mastologia, Av. Prof. Mário Rubens Guimarães Montenegro, s/n. Bairro: UNESP, Campus de Botucatu, Botucatu, São Paulo, Brazil. 2. Department of Public Health, Universidade Estadual Paulista (UNESP), Faculdade de Medicina de Botucatu, Programa de Pós-Graduação Em Saúde Coletiva, Av. Prof. Mário Rubens Guimarães Montenegro, s/n. Bairro: UNESP, Campus de Botucatu, Botucatu, São Paulo, CEP: 8618687, Brazil. 3. Department of Public Health, Universidade Estadual Paulista (UNESP), Faculdade de Medicina de Botucatu, Programa de Pós-Graduação Em Saúde Coletiva, Av. Prof. Mário Rubens Guimarães Montenegro, s/n. Bairro: UNESP, Campus de Botucatu, Botucatu, São Paulo, CEP: 8618687, Brazil. dias.adriano@unesp.br.
Abstract
PURPOSE: To estimate the prevalence of indicative signs and symptoms of carpal tunnel syndrome (CTS) during the third trimester of pregnancy; assess the severity of symptoms and functional impairment; evaluate associated factors; and to evaluate the complaint of CTS in pregnant women through ultrasonography (USG). METHODS: A cross-sectional study, in which participants were classified into two groups: presence and absence of indicative signs and symptoms of CTS. Severity of symptoms and functional status was assessed by the Boston Carpal Tunnel Questionnaire. USG was performed by multiplanar technique of static and dynamic evaluation. Association between USG and indicative signs and symptoms of CTS was estimated using Fischer's exact test and Poisson regression models were used to estimate the association of exploratory variables and indicative signs and symptoms of CTS. RESULTS: Altogether, 482 women were recruited and 111 presented indicative signs and symptoms of CTS, resulting in a prevalence of 23.03%. USG was not able to distinguish indicative signs and symptoms of CTS groups. Both the severity of the symptoms and the impairment of the manual function were mild. Being left-handed, gestational diabetes mellitus and maternal age were associated with indicative signs and symptoms of CTS. CONCLUSIONS: The high prevalence of indicative signs and symptoms of CTS and the difficulties that they can cause reinforce the importance of adequate diagnosis and treatment. Further studies are needed to assess the value of USG as a diagnostic method for CTS during pregnancy.
PURPOSE: To estimate the prevalence of indicative signs and symptoms of carpal tunnel syndrome (CTS) during the third trimester of pregnancy; assess the severity of symptoms and functional impairment; evaluate associated factors; and to evaluate the complaint of CTS in pregnant women through ultrasonography (USG). METHODS: A cross-sectional study, in which participants were classified into two groups: presence and absence of indicative signs and symptoms of CTS. Severity of symptoms and functional status was assessed by the Boston Carpal Tunnel Questionnaire. USG was performed by multiplanar technique of static and dynamic evaluation. Association between USG and indicative signs and symptoms of CTS was estimated using Fischer's exact test and Poisson regression models were used to estimate the association of exploratory variables and indicative signs and symptoms of CTS. RESULTS: Altogether, 482 women were recruited and 111 presented indicative signs and symptoms of CTS, resulting in a prevalence of 23.03%. USG was not able to distinguish indicative signs and symptoms of CTS groups. Both the severity of the symptoms and the impairment of the manual function were mild. Being left-handed, gestational diabetes mellitus and maternal age were associated with indicative signs and symptoms of CTS. CONCLUSIONS: The high prevalence of indicative signs and symptoms of CTS and the difficulties that they can cause reinforce the importance of adequate diagnosis and treatment. Further studies are needed to assess the value of USG as a diagnostic method for CTS during pregnancy.
Authors: Astros Th Skuladottir; Gyda Bjornsdottir; Egil Ferkingstad; Gudmundur Einarsson; Lilja Stefansdottir; Muhammad Sulaman Nawaz; Asmundur Oddsson; Thorunn A Olafsdottir; Saedis Saevarsdottir; G Bragi Walters; Sigurdur H Magnusson; Anna Bjornsdottir; Olafur A Sveinsson; Arnor Vikingsson; Thomas Folkmann Hansen; Rikke Louise Jacobsen; Christian Erikstrup; Michael Schwinn; Søren Brunak; Karina Banasik; Sisse Rye Ostrowski; Anders Troelsen; Cecilie Henkel; Ole Birger Pedersen; Ingileif Jonsdottir; Daniel F Gudbjartsson; Patrick Sulem; Thorgeir E Thorgeirsson; Hreinn Stefansson; Kari Stefansson Journal: Nat Commun Date: 2022-03-24 Impact factor: 17.694