CTS in Association with Diabetes, Hypothyroisim, and Dupuytren's

1.  Atcheson, S.G., Ward, J.R., Lowe, W., “Concurrent medical disease in work-related carpal tunnel syndrome.” Arch Intern Med, 1998; 158:1506-1512.

Concludes CTS tends to occur in people with lost of other physical problems. Therefore, whether work related or decline in general health becomes the unanswered question.

2.  Baba, M., Ozaki, I., Watahiki, Y., Kudo, M., Takebe, K., Matsunaga, M., “Focal conduction delay at the carpal tunnel and the cubital fossa in diabetic neuropathy.” Electromyogr Clin Neurophysiol, 1987; 27:119-123.

Confirms that even with diabetic neuropathy localized entrapment can be superimposed. Ties in with the work of A.L. Dellon.

3.  Casanova, J.E., Casanova, J.S., Young, M.J., “Hand function in patients with diabetes mellitus.” Southern Medical Journal, 1991; 84:9:1111-1113.

Points out the high incidence of multiple hand problems in people afflicted with diabetes. CTS occurs more commonly in diabetics along with other nerve involvement.

4.  Chammas, M., Bousquet, P., Renard, E., Poirier, J.L., Jaffiol, C., Allieu, Y. “Dupuytren’s disease, carpal tunnel syndrome, trigger finger, and diabetes mellitus.” JHS, 1995; 20A: 109-114.

 

5.  Gamstedt, A., Holm-Glad, J., Ohlson, C.G., Sundstrom, M., “Hand abnormalities are strongly associated with the duration of diabetes mellitus.” J of Internal Medicine, 1993; 234:189-193.

Reveals increased incidence of hand problems including diabetes with respect to duration of the diabetes.

6.  Nemni, R., Bottacchi, E., Fazio, R., Mamoli, A., Corbo, M., Camerlingo, M., Galardi, G., Erenbourg, L., Canal, N. “Polyneuropathy in hypothyroidism: clinical, electrophysiological, and morphological findings in four cases.” Journal of Neurol, Neurosurg, and Psych, 1987; 50:1454-1460.

 

7.  Palumbo, C.F., Szabo, R.M., Olmsted, S.L. “The effects of hypothyroidism and thyroid replacement on the development of carpal tunnel syndrome.” JHS, 2000; 25A: 734-739.

Shows no association directly linking thyroid dysfunction with CTS.

8.  Purnell, D.C., Daly, D.D., Lipscomb, P.R. “Carpal tunnel syndrome associated with Myxedema.” Arch Intern Med, 1961; 108: 151-156.

Worthless.

9.  Torres, C.F., Moxley, R.T. “Hypothyroidism neuropathy and myopathy: clinical and electrodiagnostic longitudinal findings.” J Neurol, 1990; 237: 237-274.

 

10.  Redmond, M.D. and Rivner, M.H. “False positive Electrodiagnostic tests in carpal tunnel syndrome.” Muscle & Nerve, 1988; 11: 511-517.

Worthless. Overly pessimistic view in possible false positive rather than being concerned with false negative results.