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Carpal tunnel syndrome in rheumatoid arthritis. A clinical and electrodiagnostic survey.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Barnes, Calvin G. Currey, H. L. F. |
| Copyright Year | 1967 |
| Abstract | The term carpal tunnel syndrome (CTS) refers to the clinical condition presenting with paraesthesiae or dysaesthesiae in the median nerve distribution, and coincidental impairment of function of those muscles of the thenar eminence supplied by the median nerve, with or without objective motor and sensory signs. This was first adequately described by Brain, Wright, and Wilkinson (1947) and is attributed to partial or complete interruption of median nerve motor and sensory pathways at the wrist. While this syndrome may occur de novo in some patients, notably young and middle-aged women, certain causative or predisposing conditions are well known, including myxoedema, acromegaly, amyloid disease, ganglion formation (Robbins, 1963), pregnancy, and rheumatoid arthritis. Estimations of the incidence ofCTS in rheumatoid arthritis vary and the true frequency of the association is unknown. Brewerton (1965) considered CTS to be common in the early stages of rheumatoid arthritis, becoming less frequent later in the disease. Moritz (1964) found it an uncommon association. Clinically this diagnosis may easily be missed muscle wasting and hand pain being attributed, by both patient and physician, to the underlying rheumatoid arthritis. Yet it is an important diagnosis to make, for treatment is simple, and the function of the rheumatoid hand is probably exceptionally vulnerable to even a mild superadded neurological defect (Currey, 1965). The diagnosis of the CTS has been aided by electrodiagnostic techniques, which include electromyography of the abductor pollicis brevis muscle and measurement of the motor latency in the segment of the median nerve between the wrist and this muscle, and of sensory conduction between the index finger and the wrist. |
| File Format | PDF HTM / HTML |
| DOI | 10.1136/ard.26.3.226 |
| Alternate Webpage(s) | http://ard.bmj.com/content/annrheumdis/26/3/226.full.pdf |
| PubMed reference number | 6024917 |
| Alternate Webpage(s) | https://doi.org/10.1136/ard.26.3.226 |
| Journal | Medline |
| Volume Number | 26 |
| Issue Number | 3 |
| Journal | Annals of the rheumatic diseases |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
