Open Access

Carpal tunnel syndrome related to rheumatic disease (Review)

  • Authors:
    • Lenuța Bîrsanu
    • Georgiana-Anca Vulpoi
    • Dan Iulian Cuciureanu
    • Cristian Dorin Antal
    • Ionut Raducu Popescu
    • Dana Mihaela Turliuc
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  • Published online on: August 6, 2024     https://doi.org/10.3892/etm.2024.12678
  • Article Number: 389
  • Copyright: © Bîrsanu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Carpal tunnel syndrome (CTS) is the most commonly occurring type of entrapment neuropathy in the world. Several conditions may contribute to the development of CTS, such as obesity, repetitive wrist movements, pregnancy, genetic predisposition and rheumatoid arthritis (RA) inflammation. CTS is characterized by a wide range of pathophysiological factors, including increased pressure, mechanical trauma and ischemic damage to the median nerve that runs through the wrist tunnel. In the present narrative literature review, the way rheumatic diseases (RDs) contribute to CTS occurrence is investigated. The epidemiological, clinical, paraclinical and pathogenesis aspects of the relationship are examined. CTS is the most common neurological finding in RA, and incidences of RA, psoriatic arthritis and CTS are closely related. The association of CTS with systemic lupus erythematosus, Sjögren's syndrome, Behcet's disease and systemic sclerosis is weaker. In these cases, the prevalence of CTS is similar to that in the general population. As the occurrence of CTS is increasing, understanding the common mechanism and making an early diagnosis are required to limit pain and costs. When patients with RD present with symptoms such as wrist pain, tingling sensations or numbness in their fingers, CTS should be suspected. This suspicion should not be interpreted in terms of RD. To accurately evaluate patients with RD, a detailed electrophysiological examination should be included in the evaluation process. A diagnostic algorithm should include neuromuscular ultrasound or magnetic resonance imaging for patients with RD.
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October-2024
Volume 28 Issue 4

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Bîrsanu L, Vulpoi G, Cuciureanu D, Antal CD, Popescu IR and Turliuc DM: Carpal tunnel syndrome related to rheumatic disease (Review). Exp Ther Med 28: 389, 2024
APA
Bîrsanu, L., Vulpoi, G., Cuciureanu, D., Antal, C.D., Popescu, I.R., & Turliuc, D.M. (2024). Carpal tunnel syndrome related to rheumatic disease (Review). Experimental and Therapeutic Medicine, 28, 389. https://doi.org/10.3892/etm.2024.12678
MLA
Bîrsanu, L., Vulpoi, G., Cuciureanu, D., Antal, C. D., Popescu, I. R., Turliuc, D. M."Carpal tunnel syndrome related to rheumatic disease (Review)". Experimental and Therapeutic Medicine 28.4 (2024): 389.
Chicago
Bîrsanu, L., Vulpoi, G., Cuciureanu, D., Antal, C. D., Popescu, I. R., Turliuc, D. M."Carpal tunnel syndrome related to rheumatic disease (Review)". Experimental and Therapeutic Medicine 28, no. 4 (2024): 389. https://doi.org/10.3892/etm.2024.12678