Clinical and electrophysiological evaluation of carpel tunnel syndrome in diabetes mellitus to assess association of age, gender and duration of diabetes on median neuropathy at wrist
Journal Title: THE HEALTH AGENDA - Year 2013, Vol 1, Issue 3
Abstract
Context: CTS is commonest entrapment neuropathy in upper limbs. Prevalence of median neuropathy at wrist in diabetes mellitus (DM) is affected by certain non-modifiable risk factors like age, sex, duration of diabetes, body mass index etc. Objectives: To assess association of age, gender and duration of diabetes on prevalence of median neuropathy at wrist in diabetic population. Methodology: Present study is a hospital based cross-sectional study. 53 type-2 DM patients underwent clinical and EDX evaluation during January 2009 to December 2010 at a rural hospital in central India. Case-to-case diagnosis of CTS was done using standard reference values. Palm wrist comparison studies were incorporated to increase diagnostic sensitivity. Data was analyzed using Graph-Pad Prism software. Results: CTS in diabetic population was 16.98%, 15.09% and 24.53% with clinical assessment, routine EDX tests and comparison EDX tests respectively. Statistically significant (p<0.05) female predominance was observed in gender-wise distribution of clinical and electrophysiological CTS. With advancing age and duration of diabetes from its diagnosis, higher prevalence was observed although it was statistically not significant (p value > 0.05). Conclusion: Median neuropathy at wrist was more prevalent in females of older age in diabetic population. We suggest mandatory inclusion of palm-wrist median versus ulnar comparison studies for early diagnosis of median neuropathy at wrist.
Authors and Affiliations
Anuja Akulwar, Balaji Ghugare, Ramji Singh, Neeraj Kanchankar, Manjiri Joshi, Manish Ramavat
Knowledge about swine flu among patients seeking health care in a tertiary and primary health care facility in Puducherry
Background: Swine flu/Novel H1N1 influenza Pandemic was in Phase 6 in June 2009. Success of mitigation would depend on compliance of the community particularly to non-pharmacological interventions which in turn would be...
Knowledge, attitude and preventive practices of South Indian women towards breast cancer
Background: Indian women typically present late at advanced stages of breast cancer when little or no benefit can be derived from any form of therapy. Recent global cancer statistics indicate that incidence of breast can...
A rapid assessment of some clinical and entomological indices in East, Central and North zones of Ahmedabad municipal corporation, Gujarat, India
Vector borne diseases are the major tropical health challenges and leading cause of morbidity and mortality in the world. Present study was carried out for rapid assessment of morbidity and mortality due to vector borne...
Process documentation of detection of rheumatic activity via throat swab culture among school children of Tripura in Northeast India
Rheumatic fever/rheumatic heart disease is a significant problem in children and young adults of our nation and hence needs attention on priority basis. This process documentation describes in brief how rheumatic activit...
Pleomorphic adenoma of soft palate, a rare lesion
Pleomorphic adenomas are benign tumors of the salivary glands and are usually seen in major salivary glands, whereas are rare in minor salivary glands. Tumors of minor salivary glands are usually malignant. Pleomorphic a...