Increased Risk of CTS (Limited Evidence)
Limited evidence supports that the following factors are associated with the increased risk of developing carpal tunnel syndrome (CTS):
• Dialysis
• Fibromyalgia
• Varicosis
• Distal radius fracture
• Dialysis
• Fibromyalgia
• Varicosis
• Distal radius fracture
Management of Carpal Tunnel Syndrome
Endorsed by: ASSH, ASPS, ACR, ACS, ASA
LIMITED RECOMMENDATION Rationale
Comorbidities including dialysis, fibromyalgia, and varicosis each had one moderate quality study (Shin, 2008; Fahmi, 2013; De Krom, 1990) showing that each has a significantly increased risk of CTS.
Wrist fracture showed an increased risk of CTS in two moderate quality studies (Geoghegan, 2004; Dyer, 2008). One moderate quality study (Morgenstern, 1991) showed an insignificant relationship, but that study included only female participants and therefore the findings may not be generalizable.
Wrist fracture showed an increased risk of CTS in two moderate quality studies (Geoghegan, 2004; Dyer, 2008). One moderate quality study (Morgenstern, 1991) showed an insignificant relationship, but that study included only female participants and therefore the findings may not be generalizable.
- (16) de Krom MC, Knipschild PG, Kester AD, Spaans F. Efficacy of provocative tests for diagnosis of carpal tunnel syndrome. Lancet 1990 Feb 17;335(8686):393-5.
- Dyer,G.; Lozano-Calderon,S.; Gannon,C.; Baratz,M.; Ring,D. Predictors of acute carpal tunnel syndrome associated with fracture of the distal radius. J Hand Surg Am; 2008/10: 8
- Fahmi,D.S.; El-Shafey,A.M. Carpal tunnel syndrome in fibromyalgia patients - a crucial factor for their functional impairment. Egyptian Rheumatologist; 2013/7: 3
- Geoghegan,J.M.; Clark,D.I.; Bainbridge,L.C.; Smith,C.; Hubbard,R. Risk factors in carpal tunnel syndrome. J Hand Surg Br; 2004/8: 4
- Morgenstern,H.; Kelsh,M.; Kraus,J.; Margolis,W. A cross-sectional study of hand/wrist symptoms in female grocery checkers. Am J Ind.Med; 1991: 2
- Shin,J.; Nishioka,M.; Shinko,S.; Shibuya,K.; Sugiki,M.; Kasumoto,H.; Fudo,A.; Bito,Y.; Fujita,Y.; Komaba,K. Carpal tunnel syndrome and plasma beta2-microglobulin concentration in hemodialysis patients. Ther Apher.Dial.; 2008/2: 1